NPI: 1013563527 · JACKSON, MS 39216 · Prosthetic/Orthotic Supplier · NPI assigned 08/12/2019
| Authorized Official | GRIMSLEY, JEFFREY (CFO) |
| NPI Enumeration Date | 08/12/2019 |
Other providers sharing the same authorized official: GRIMSLEY, JEFFREY
| Provider | City | State | Total Paid |
|---|---|---|---|
| STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | JACKSON | MS | $506.72M |
| STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | CANTON | MS | $13.96M |
| STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | LEXINGTON | MS | $7.52M |
| STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | LEXINGTON | MS | $1.07M |
| STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | JACKSON | MS | $597K |
| STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | LEXINGTON | MS | $507K |
| STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | VAIDEN | MS | $137K |
| STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | GRENADA | MS | $37K |
| STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | WEST | MS | $11K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $532.76 |
| 2021 | 244 | $15K |
| 2022 | 676 | $34K |
| 2023 | 376 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 869 | 658 | $73K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 271 | 193 | $5K |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | 93 | 55 | $3K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 33 | 26 | $947.72 |
| L3260 | Surgical boot/shoe, each | 45 | 15 | $0.00 |