NPI: 1114250552 · NEW BEDFORD, MA 02744 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/17/2009
| Authorized Official | POLONCHEK, JEANNA (CEO) |
| NPI Enumeration Date | 09/17/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 153 | $6K |
| 2023 | 52 | $1K |
| 2024 | 142 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 170 | 86 | $7K |
| 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 | 177 | 88 | $5K |