NPI: 1447891635 · NEW YORK, NY 10002 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 24 | $667.78 |
| 2022 | 425 | $17K |
| 2023 | 241 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L1971 | Afo w/ankle joint, prefab | 145 | 82 | $10K |
| L3030 | Foot arch support remov prem | 318 | 174 | $8K |
| L1906 | Afo multilig ank sup pre ots | 121 | 61 | $2K |
| A5500 | Diab shoe for density insert | 48 | 28 | $695.22 |
| L1820 | Ko elas w/ condyle pads & jo | 28 | 14 | $613.44 |
| A5512 | Multi den insert direct form | 30 | 15 | $314.44 |