NPI: 1518448638 · BOISE, ID 83706 · Prosthetist · NPI assigned 08/27/2018
| Authorized Official | MCDONALD, STEPHANIE (OWNER) |
| NPI Enumeration Date | 08/27/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 52 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L5940 | Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) | 13 | 12 | $3K |
| L5620 | Addition to lower extremity, test socket, below knee | 13 | 12 | $3K |
| L5629 | Addition to lower extremity, below knee, acrylic socket | 13 | 12 | $2K |
| L5637 | Addition to lower extremity, below knee, total contact | 13 | 12 | $2K |