NPI: 1154320760 · WHITTIER, CA 90601 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/15/2005
| Authorized Official | HWANG, DAN (CEO) |
| NPI Enumeration Date | 07/15/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 275 | $793.43 |
| 2019 | 219 | $16K |
| 2020 | 67 | $4K |
| 2021 | 155 | $18K |
| 2022 | 230 | $28K |
| 2023 | 281 | $41K |
| 2024 | 346 | $61K |
| Code | Description | Claims | Bene. Records | 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 | 1,158 | 1,118 | $124K |
| 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 | 415 | 405 | $45K |