NPI: 1104356484 · HONOLULU, HI 96814 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 601 | $15K |
| 2022 | 1,662 | $122K |
| 2023 | 613 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3030 | Foot arch support remov prem | 971 | 428 | $101K |
| L3216 | Orthoped ladies shoes dpth i | 623 | 275 | $40K |
| A5512 | Multi den insert direct form | 363 | 167 | $18K |
| A5500 | Diab shoe for density insert | 471 | 214 | $17K |
| L3221 | Orthopedic mens shoes dpth i | 144 | 58 | $10K |
| 0064A | 100 | 97 | $4K | |
| 0094A | 14 | 14 | $563.16 | |
| 90471 | 12 | 12 | $150.72 | |
| 0013A | 63 | 63 | $0.00 | |
| 91301 | 101 | 98 | $0.00 | |
| 91309 | 14 | 14 | $0.00 |