NPI: 1205824521 · DOWNEY, CA 90242 · Orthotist · NPI assigned 10/11/2005
| Authorized Official | PORTER, DAVID (PRESIDENT) |
| NPI Enumeration Date | 10/11/2005 |
Other providers sharing the same authorized official: PORTER, DAVID
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAYNE GENERAL AMBULANCE | WAYNESBORO | MS | $1.08M |
| WAYNE GENERAL HOSPITAL | WAYNESBORO | MS | $24K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 76 | $0.00 |
| 2019 | 92 | $8K |
| 2021 | 12 | $2K |
| 2022 | 198 | $30K |
| 2023 | 309 | $50K |
| 2024 | 298 | $53K |
| 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 | 509 | 506 | $81K |
| 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 | 476 | 475 | $60K |