NPI: 1245304112 · BANGOR, ME 04401 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/20/2006
Authorized official ANGELINE, GRACE controls 20+ related entities in our dataset. Read more
| Authorized Official | ANGELINE, GRACE (REG COMPLIANCE SPECIALIST III) |
| Parent Organization | HANGER INC |
| NPI Enumeration Date | 11/20/2006 |
Other providers sharing the same authorized official: ANGELINE, GRACE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $3K |
| 2019 | 26 | $5K |
| 2020 | 18 | $1K |
| 2021 | 20 | $3K |
| 2022 | 28 | $7K |
| 2023 | 260 | $50K |
| 2024 | 250 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | 189 | 130 | $42K |
| L1960 | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated | 13 | 12 | $14K |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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 | 79 | 54 | $12K |
| L5679 | Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism | 15 | 13 | $10K |
| 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 | 85 | 58 | $7K |
| L3216 | Orthopedic footwear, ladies shoe, depth inlay, each | 49 | 30 | $6K |
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each | 41 | 28 | $5K |
| L5673 | Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism | 16 | 13 | $5K |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | 26 | 16 | $5K |
| L8420 | Prosthetic sock, multiple ply, below knee, each | 37 | 32 | $3K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 30 | 25 | $3K |
| L8470 | Prosthetic sock, single ply, fitting, below knee, each | 36 | 32 | $915.92 |