FOOTPRINTS FASHION FOOTWEAR
NPI: 1003860263
· NEWINGTON, CT 06111
· 332B00000X
$150K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
912 |
$68K |
| 2019 |
535 |
$41K |
| 2020 |
173 |
$11K |
| 2021 |
161 |
$9K |
| 2022 |
154 |
$9K |
| 2023 |
261 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A5500 |
Diab shoe for density insert |
1,323 |
964 |
$75K |
| L3216 |
Orthoped ladies shoes dpth i |
492 |
468 |
$45K |
| L3221 |
Orthopedic mens shoes dpth i |
220 |
209 |
$24K |
| A5512 |
Multi den insert direct form |
119 |
105 |
$5K |
| A5513 |
Multi den insert custom mold |
42 |
42 |
$2K |