NPI: 1003884867
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 717 | $41K |
| 2019 | 829 | $14K |
| 2020 | 380 | $9K |
| 2021 | 330 | $8K |
| 2022 | 90 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L0640 | Lso s/c shell/panel custom | 41 | 39 | $26K |
| L3807 | Whfo w/o joints pre cst | 830 | 712 | $17K |
| L3809 | Whfo w/o joints pre ots | 400 | 310 | $11K |
| L3760 | Eo adj jt prefab custom fit | 189 | 173 | $8K |
| L1831 | Knee orth pos locking joint | 222 | 161 | $4K |
| A5512 | Multi den insert direct form | 254 | 130 | $3K |
| A5500 | Diab shoe for density insert | 281 | 143 | $2K |
| L0650 | Lso sc r ant/pos pnl pre ots | 82 | 71 | $2K |
| L4396 | Static or dynami afo pre cst | 31 | 25 | $284.87 |
| L0648 | Lso sag r an/pos pnl pre ots | 16 | 13 | $0.00 |