NPI: 1093870743 · CRANSTON, RI 02905 · Prosthetic/Orthotic Supplier · NPI assigned 12/23/2006
| Authorized Official | PALMER, ERIC (OWNER PRESIDENT) |
| NPI Enumeration Date | 12/23/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 26 | $667.92 |
| 2024 | 64 | $3K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 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 | 59 | 26 | $2K |
| 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 | 31 | 14 | $2K |