NPI: 1053551432 · WICHITA, KS 67230 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/25/2009
| Authorized Official | TANNER, JASON (OWNER) |
| NPI Enumeration Date | 02/25/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $3K |
| 2019 | 199 | $25K |
| 2020 | 142 | $21K |
| 2021 | 296 | $37K |
| 2022 | 468 | $78K |
| 2023 | 389 | $72K |
| 2024 | 210 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 1,122 | 825 | $135K |
| L2840 | Addition to lower extremity orthosis, tibial length sock, fracture or equal, each | 501 | 351 | $110K |
| L1960 | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated | 95 | 74 | $41K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 14 | 12 | $944.52 |