NPI: 1508994120 · STONEHAM, MA 02180 · Durable Medical Equipment & Medical Supplies
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 123 | $6K |
| 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 | 56 | 53 | $4K |
| 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 | 67 | 65 | $3K |