NPI: 1073578944 · CHICAGO, IL 60612 · Prosthetic/Orthotic Supplier · NPI assigned 04/20/2006
Authorized official ANGELINE, GRACE controls 20+ related entities in our dataset. Read more
| Authorized Official | ANGELINE, GRACE (REG COMPLIANCE SPECIALIST III) |
| NPI Enumeration Date | 04/20/2006 |
Other providers sharing the same authorized official: ANGELINE, GRACE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 289 | $39K |
| 2019 | 983 | $122K |
| 2020 | 318 | $39K |
| 2022 | 53 | $7K |
| 2023 | 44 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | 822 | 448 | $122K |
| L1960 | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated | 56 | 38 | $33K |
| 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 | 327 | 190 | $20K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 201 | 140 | $14K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 101 | 65 | $13K |
| 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 | 157 | 98 | $7K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 23 | 13 | $3K |