TAX ID|NPI|MAXIMUM BENEFIT SCHEDULE|NOTES
52-1486235|1750453486|Base on 100% of  2021 Medicare DMEPOS Fee Schedule| GA (NR).|Any codes not found on the Medicare Fee Schedule| will be priced at the default percentage of 40% discount or 60% of billed charges.
23-2582601|1588757199|Base on 100% of  2021 Medicare DMEPOS Fee Schedule| GA (NR).|Any codes not found on the Medicare Fee Schedule| will be priced at the default percentage of 40% discount or 60% of billed charges.