NPI: 1447893664 · RICHFIELD, MN 55423 · Prosthetic/Orthotic Supplier · NPI assigned 10/21/2019
| Authorized Official | MUHAMMAD, ISAAC (DIRECTOR) |
| NPI Enumeration Date | 10/21/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 53 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 25 | 13 | $3K |
| 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 | 28 | 14 | $2K |