NPI: 1548815996 · SUNRISE, FL 33351 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/02/2019
| Authorized Official | REYES, PEDRO (OWNER) |
| NPI Enumeration Date | 08/02/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 79 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L0457 | Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf | 12 | 12 | $2K |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | 22 | 13 | $1K |
| L2397 | Addition to lower extremity orthosis, suspension sleeve | 45 | 25 | $456.13 |