NPI: 1083661797 · CHICAGO, IL 60659 · 335E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 596 | $81K |
| 2019 | 183 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3010 | Foot longitudinal arch suppo | 270 | 228 | $51K |
| A5500 | Diab shoe for density insert | 298 | 271 | $30K |
| L1960 | Afo pos solid ank plastic mo | 18 | 12 | $11K |
| A5512 | Multi den insert direct form | 149 | 131 | $7K |
| A5513 | Multi den insert custom mold | 31 | 26 | $3K |
| A6530 | Compression stocking bk18-30 | 13 | 13 | $841.50 |