NPI: 1003117508 · OMAHA, NE 68130 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 866 | $289K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3916 | Who nontorsion jnts pre ots | 200 | 98 | $71K |
| L1845 | Ko double upright pre cst | 118 | 57 | $45K |
| L3761 | Eo, adj lock joint prefab ot | 202 | 99 | $42K |
| E0217 | Water circ heat pad w pump | 103 | 101 | $42K |
| L1932 | Afo rig ant tib tcf/= custom | 58 | 27 | $29K |
| L1833 | Ko adj jnt pos r sup pre ots | 32 | 16 | $16K |
| L0627 | Lo sag ri an/pos pnl pre cst | 59 | 57 | $15K |
| L0457 | Tlso flex trnk sj-ss pre ots | 16 | 16 | $14K |
| L1971 | Afo w/ankle joint, prefab | 32 | 16 | $12K |
| L1902 | Afo ankle gauntlet pre ots | 46 | 23 | $2K |