NPI: 1326094863 · JOHNSTOWN, PA 15901 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/26/2006
| Authorized Official | BEEN, THOMAS (PRESIDENT) |
| NPI Enumeration Date | 05/26/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 21 | $1K |
| 2023 | 38 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4580 | Cast supplies (e.g., plaster) | 21 | 13 | $1K |
| 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 | 25 | 12 | $1K |
| 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 | 13 | 13 | $860.84 |