NPI: 1346569175 · PALMDALE, CA 93551 · Prosthetic/Orthotic Supplier · NPI assigned 05/18/2010
| Authorized Official | METICHECCHIA, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 05/18/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 118 | $18K |
| 2024 | 155 | $29K |
| 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 | 107 | 102 | $29K |
| 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 | 166 | 157 | $18K |