ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP.
NPI: 1528506821
· SANTA FE, NM 87507
· 335E00000X
$107K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$3K |
| 2019 |
583 |
$49K |
| 2020 |
465 |
$45K |
| 2021 |
98 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6549 |
Grad com garm noc day use |
303 |
165 |
$51K |
| A6530 |
Compression stocking bk18-30 |
277 |
161 |
$22K |
| L0630 |
Lso r post pnl sj-t9 pre cst |
100 |
100 |
$14K |
| A5500 |
Diab shoe for density insert |
257 |
131 |
$10K |
| A5512 |
Multi den insert direct form |
203 |
113 |
$7K |
| A6545 |
Grad com non-elastic bk surg |
18 |
13 |
$2K |
| L8000 |
Mastectomy bra |
16 |
13 |
$615.20 |