NPI: 1619511599 · WEST ALLIS, WI 53227 · Customized Equipment (DME) · NPI assigned 11/04/2019
| Authorized Official | KRUMREE, SAMANTHA (OFFICE MANAGER) |
| NPI Enumeration Date | 11/04/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 28 | $761.54 |
| 2022 | 370 | $9K |
| 2023 | 280 | $7K |
| 2024 | 251 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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 | 371 | 126 | $14K |
| 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 | 558 | 211 | $11K |