NPI: 1437237682 · EAU CLAIRE, WI 54701 · Prosthetic/Orthotic Supplier
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 72 | $1K |
| 2019 | 102 | $1K |
| 2020 | 54 | $118.62 |
| 2021 | 59 | $671.52 |
| 2022 | 83 | $970.72 |
| 2023 | 26 | $29.16 |
| 2024 | 180 | $2K |
| 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 | 418 | 218 | $4K |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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 | 158 | 28 | $2K |