NPI: 1548343916 · TAMARAC, FL 33321 · Prosthetic/Orthotic Supplier · NPI assigned 10/22/2006
| Authorized Official | THIGPEN, MARK (OWNER) |
| NPI Enumeration Date | 10/22/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 92 | $762.88 |
| 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 | 48 | 14 | $762.88 |
| 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 | 44 | 13 | $0.00 |