NPI: 1538263678 · BROOKLYN PARK, MN 55445 · Prosthetic/Orthotic Supplier · NPI assigned 09/11/2006
| Authorized Official | VANG, MEE (OFFICE MANAGER) |
| NPI Enumeration Date | 09/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 162 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 98 | 45 | $11K |
| 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 | 64 | 30 | $9K |