NPI: 1508911173 · SAN DIEGO, CA 92127 · Prosthetic/Orthotic Supplier · NPI assigned 01/24/2007
| Authorized Official | ALEJANDRE, MARTHA (OFFICE ADMINISTRATOR) |
| NPI Enumeration Date | 01/24/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 350 | $30K |
| 2019 | 421 | $38K |
| 2020 | 643 | $66K |
| 2021 | 888 | $99K |
| 2022 | 894 | $96K |
| 2023 | 1,147 | $155K |
| 2024 | 855 | $114K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L2280 | Addition to lower extremity, molded inner boot | 1,155 | 684 | $282K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 2,361 | 1,326 | $154K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 1,496 | 869 | $102K |
| L1960 | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated | 186 | 102 | $59K |