NPI: 1356801963 · COSTA MESA, CA 92626 · Customized Equipment (DME) · NPI assigned 03/20/2019
| Authorized Official | HAWKINS, CHARLES (PRESIDENT) |
| NPI Enumeration Date | 03/20/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 44 | $227.24 |
| 2021 | 374 | $6K |
| 2022 | 627 | $20K |
| 2023 | 670 | $28K |
| 2024 | 757 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 1,401 | 1,401 | $68K |
| K0003 | Lightweight wheelchair | 880 | 880 | $9K |
| 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 | 97 | 49 | $428.62 |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | 94 | 49 | $207.44 |