NPI: 1598958720 · SUFFIELD, CT 06078 · Prosthetic/Orthotic Supplier · NPI assigned 08/21/2007
| Authorized Official | CALENDRILLO, MATTHEW (PARTNER) |
| NPI Enumeration Date | 08/21/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 33 | $4K |
| 2019 | 15 | $820.31 |
| 2020 | 20 | $819.90 |
| 2021 | 34 | $2K |
| 2022 | 22 | $828.75 |
| 2023 | 256 | $10K |
| 2024 | 169 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L4205 | Repair of orthotic device, labor component, per 15 minutes | 514 | 367 | $22K |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | 16 | 12 | $3K |
| 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 | 19 | 13 | $484.20 |