NPI: 1578560447 · SAN JUAN, PR 00918 · 335E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,180 | $1.62M |
| 2019 | 528 | $1.69M |
| 2020 | 726 | $1.52M |
| 2021 | 1,467 | $3.53M |
| 2022 | 1,601 | $3.44M |
| 2023 | 1,789 | $4.14M |
| 2024 | 1,445 | $4.73M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L8699 | Prosthetic implant nos | 6,843 | 6,026 | $20.44M |
| L5673 | Socket insert w lock mech | 116 | 57 | $86K |
| A5500 | Diab shoe for density insert | 836 | 470 | $38K |
| L5671 | Bk/ak locking mechanism | 73 | 38 | $36K |
| A5512 | Multi den insert direct form | 654 | 417 | $34K |
| L8420 | Prosthetic sock multi ply bk | 86 | 41 | $18K |
| L8030 | Breast prosthes w/o adhesive | 24 | 12 | $7K |
| L8000 | Mastectomy bra | 26 | 13 | $6K |
| L2820 | Soft interface below knee se | 13 | 12 | $4K |
| L5962 | Below knee flex cover system | 14 | 12 | $2K |
| L8470 | Pros sock single ply bk | 51 | 29 | $611.16 |