NPI: 1063902708 · REDLANDS, CA 92373 · Prosthetic/Orthotic Supplier · NPI assigned 05/17/2018
| Authorized Official | NEMANI, PALLAVI (COMPLIANCE OFFICER) |
| NPI Enumeration Date | 05/17/2018 |
Other providers sharing the same authorized official: NEMANI, PALLAVI
| Provider | City | State | Total Paid |
|---|---|---|---|
| ACTIVE LIFE, LLC | GLENDALE | CA | $1.75M |
| ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP. | SANTA FE | NM | $107K |
| OTTO BOCK PATIENT CARE, LLC | JONESBORO | AR | $85K |
| ACTIVE LIFE, LLC | NORTHRIDGE | CA | $54K |
| ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP | ALBUQUERQUE | NM | $50K |
| ACTIVE LIFE, LLC | LOS ANGELES | CA | $30K |
| OTTO BOCK PATIENT CARE, LLC | ASHEVILLE | NC | $6K |
| ACTIVE LIFE, LLC | LOS ANGELES | CA | $3K |
| ACTIVE LIFE, LLC | SAN DIEGO | CA | $1K |
| ACTIVE LIFE, LLC | ORANGE | CA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 96 | $12K |
| 2024 | 151 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 68 | 46 | $18K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 142 | 93 | $5K |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 37 | 25 | $1K |