NPI: 1104990084 · PASADENA, CA 91105 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/20/2006
Authorized official ANGELINE, GRACE controls 20+ related entities in our dataset. Read more
| Authorized Official | ANGELINE, GRACE (PROVIDER CONTRACT ANALYST III) |
| Parent Organization | HANGER INC |
| NPI Enumeration Date | 11/20/2006 |
Other providers sharing the same authorized official: ANGELINE, GRACE
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 225 | $11K |
| 2023 | 874 | $71K |
| 2024 | 460 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 267 | 135 | $43K |
| 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 | 818 | 414 | $29K |
| 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 | 372 | 194 | $23K |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | 27 | 14 | $1K |
| L4396 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 12 | 12 | $937.60 |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | 63 | 34 | $565.48 |