NPI: 1629061007 · TAMPA, FL 33603 · Prosthetic/Orthotic Supplier · NPI assigned 08/31/2005
| Authorized Official | HOLM, OLAF (OWNER/PRESIDENT) |
| NPI Enumeration Date | 08/31/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 86 | $4K |
| 2020 | 59 | $3K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 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 | 127 | 77 | $7K |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, 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 | 18 | 12 | $0.00 |