NPI: 1285735274 · CHATSWORTH, CA 91311 · Customized Equipment (DME) · NPI assigned 09/25/2006
| Authorized Official | JAMISON, ARACELI (PRACTICE MANAGER) |
| NPI Enumeration Date | 09/25/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 54 | $7K |
| 2023 | 222 | $28K |
| 2024 | 199 | $28K |
| 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 | 275 | 265 | $36K |
| 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 | 200 | 192 | $28K |