NPI: 1407871700 · ELIZABETH, NJ 07208 · 213ES0103X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 249 | $10K |
| 2019 | 15 | $555.00 |
| 2023 | 2,611 | $59K |
| 2024 | 3,202 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3000 | Ft insert ucb berkeley shell | 886 | 426 | $37K |
| L3216 | Orthoped ladies shoes dpth i | 710 | 307 | $34K |
| L3002 | Foot insert plastazote or eq | 1,076 | 489 | $34K |
| 99213 | 1,383 | 1,223 | $24K | |
| 99212 | 787 | 696 | $16K | |
| L3221 | Orthopedic mens shoes dpth i | 92 | 44 | $6K |
| 11721 | 474 | 454 | $3K | |
| 99203 | 62 | 55 | $3K | |
| A5512 | Multi den insert direct form | 226 | 106 | $2K |
| A5500 | Diab shoe for density insert | 224 | 105 | $2K |
| 93925 | 16 | 16 | $816.05 | |
| 93922 | 82 | 81 | $710.32 | |
| 11056 | 59 | 59 | $675.26 |