NPI: 1558379412 · NEWARK, NJ 07104 · 207X00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 360 | $23K |
| 2022 | 1,309 | $88K |
| 2023 | 1,188 | $91K |
| 2024 | 1,367 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3216 | Orthoped ladies shoes dpth i | 1,237 | 1,151 | $117K |
| A6530 | Compression stocking bk18-30 | 1,033 | 980 | $74K |
| L3221 | Orthopedic mens shoes dpth i | 492 | 453 | $48K |
| L3030 | Foot arch support remov prem | 1,256 | 652 | $42K |
| L0627 | Lo sag ri an/pos pnl pre cst | 81 | 76 | $5K |
| L3217 | Ladies shoes hightop depth i | 27 | 26 | $3K |
| L3040 | Ft arch suprt premold longit | 43 | 42 | $2K |
| A4670 | Automatic bp monitor, dial | 31 | 31 | $834.74 |
| L1820 | Ko elas w/ condyle pads & jo | 24 | 12 | $133.29 |