Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › ACTIVE LIFE, LLC

ACTIVE LIFE, LLC

NPI: 1154986750 · LOS ANGELES, CA 90007 · Prosthetic/Orthotic Supplier · NPI assigned 05/08/2019

$3K
Total Medicaid Paid
54
Total Claims
28
Beneficiaries
1
Codes Billed
2021-04
First Month
2021-07
Last Month

Provider Details

Authorized OfficialNEMANI, PALLAVI (COMPLIANCE OFFICER)
NPI Enumeration Date05/08/2019

Related Entities

Other providers sharing the same authorized official: NEMANI, PALLAVI

ProviderCityStateTotal Paid
ACTIVE LIFE, LLC GLENDALE CA $1.75M
ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP. SANTA FE NM $107K
OTTO BOCK PATIENT CARE, LLC JONESBORO AR $85K
ACTIVE LIFE, LLC NORTHRIDGE CA $54K
ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP ALBUQUERQUE NM $50K
ACTIVE LIFE, LLC LOS ANGELES CA $30K
ACTIVE LIFE, LLC REDLANDS CA $24K
OTTO BOCK PATIENT CARE, LLC ASHEVILLE NC $6K
ACTIVE LIFE, LLC SAN DIEGO CA $1K
ACTIVE LIFE, LLC ORANGE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 54 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 54 28 $3K