NPI: 1144897018 · SAN DIEGO, CA 92117 · Prosthetic/Orthotic Supplier · NPI assigned 06/08/2021
| Authorized Official | CALVO, BRANDON (PRESIDENT) |
| NPI Enumeration Date | 06/08/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 34 | $5K |
| 2022 | 28 | $3K |
| 2023 | 32 | $7K |
| 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 | 47 | 47 | $9K |
| 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 | 47 | 46 | $6K |