SPRINGFIELD ORTHOPAEDIC & PEDORTHIC SERVICES, LLC
NPI: 1346419249
· SPRINGFIELD, MO 65804
· Prosthetic/Orthotic Supplier
· NPI assigned 02/25/2008
$490.40
Total Medicaid Paid
Provider Details
| Authorized Official | TULLY, HUNTER (CEO) |
| NPI Enumeration Date | 02/25/2008 |
Related Entities
Other providers sharing the same authorized official: TULLY, HUNTER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
56 |
$490.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
26 |
13 |
$316.90 |
| 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 |
30 |
15 |
$173.50 |