NPI: 1437250461 · PORTLAND, OR 97220 · Customized Equipment (DME) · NPI assigned 09/25/2006
| Authorized Official | JOHANSON, MEREDITH (VICE PRESIDENT) |
| NPI Enumeration Date | 09/25/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 53 | $3K |
| 2021 | 13 | $2K |
| 2022 | 32 | $4K |
| 2023 | 19 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 74 | 57 | $7K |
| 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 | 43 | 28 | $3K |