NPI: 1336537042 · PHILADELPHIA, PA 19140 · Prosthetic/Orthotic Supplier · NPI assigned 01/05/2015
| Authorized Official | CLARK, CALLI (DIRECTOR OF ORTHOTICS & PROSTHETICS) |
| Parent Organization | PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- NORTHEAST, LLC |
| NPI Enumeration Date | 01/05/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 286 | $9K |
| 2022 | 268 | $9K |
| 2023 | 229 | $10K |
| 2024 | 305 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | 255 | 246 | $17K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 422 | 230 | $16K |
| L2270 | Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad | 358 | 201 | $6K |
| L0984 | Protective body sock, prefabricated, off-the-shelf, each | 53 | 51 | $3K |