NPI: 1104163187 · SAINT PAUL, MN 55102 · Prosthetic/Orthotic Supplier · NPI assigned 01/10/2013
| Authorized Official | WESTLAKE, TODD (CEO) |
| NPI Enumeration Date | 01/10/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 26 | $3K |
| 2023 | 81 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 51 | 26 | $6K |
| 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 | 30 | 13 | $1K |
| 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 | 26 | 13 | $779.94 |