NPI: 1427055201 · LAFAYETTE, IN 47905 · Customized Equipment (DME) · NPI assigned 07/07/2005
| Authorized Official | MULLIN, DOUGLAS (OWNER/PRESIDENT) |
| NPI Enumeration Date | 07/07/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 64 | $446.36 |
| 2021 | 68 | $830.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 67 | 34 | $916.24 |
| 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 | 65 | 33 | $361.08 |