NPI: 1124022959 · SAN DIEGO, CA 92120 · Clinic/Center · NPI assigned 06/09/2005
| Authorized Official | PRATER, JOHN (OFFICE MANAGER) |
| NPI Enumeration Date | 06/09/2005 |
Other providers sharing the same authorized official: PRATER, JOHN
| Provider | City | State | Total Paid |
|---|---|---|---|
| ABI P&O INC | SAN DIEGO | CA | $245K |
| JUAN ANTONIO MENDOZA | SAN DIEGO | CA | $132K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 46 | $3K |
| Code | Description | Claims | Beneficiaries | 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 | 29 | 20 | $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 | 17 | 13 | $933.87 |