NPI: 1063569846 · STATEN ISLAND, NY 10310 · Customized Equipment (DME)
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,898 | $154K |
| 2023 | 1,316 | $117K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 1,468 | 734 | $210K |
| L3219 | Orthopedic footwear, mens shoe, oxford, each | 592 | 296 | $24K |
| L3215 | Orthopedic footwear, ladies shoe, oxford, each | 648 | 324 | $23K |
| L3400 | Metatarsal bar wedge, rocker | 338 | 169 | $6K |
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each | 102 | 51 | $5K |
| L3216 | Orthopedic footwear, ladies shoe, depth inlay, each | 66 | 33 | $3K |