NPI: 1538462957 · REDMOND, OR 97756 · Prosthetic/Orthotic Supplier · NPI assigned 12/07/2010
| Authorized Official | COKER, CAMERON (OWNER) |
| NPI Enumeration Date | 12/07/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22 | $460.58 |
| 2020 | 26 | $1K |
| 2021 | 25 | $958.97 |
| 2024 | 132 | $4K |
| 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 | 143 | 76 | $4K |
| 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 | 62 | 31 | $2K |