NPI: 1396920559 · ENGLEWOOD, NJ 07631 · 222Z00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,219 | $160K |
| 2021 | 6,990 | $444K |
| 2022 | 9,469 | $580K |
| 2023 | 11,641 | $742K |
| 2024 | 8,507 | $518K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3002 | Foot insert plastazote or eq | 15,961 | 6,406 | $1.32M |
| L3216 | Orthoped ladies shoes dpth i | 11,147 | 4,734 | $611K |
| L3221 | Orthopedic mens shoes dpth i | 6,267 | 2,404 | $322K |
| L3030 | Foot arch support remov prem | 2,406 | 1,049 | $119K |
| L3217 | Ladies shoes hightop depth i | 789 | 323 | $45K |
| A5512 | Multi den insert direct form | 1,091 | 444 | $11K |
| A5500 | Diab shoe for density insert | 1,103 | 447 | $9K |
| L3000 | Ft insert ucb berkeley shell | 30 | 13 | $5K |
| L3222 | Mens shoes hightop depth inl | 32 | 14 | $2K |