NPI: 1629148739 · FAIRVIEW HEIGHTS, IL 62208 · Prosthetic/Orthotic Supplier · NPI assigned 11/08/2006
| Authorized Official | WEBER, JAMES (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 11/08/2006 |
Other providers sharing the same authorized official: WEBER, JAMES
| Provider | City | State | Total Paid |
|---|---|---|---|
| GASTROINTESTINAL SPECIALISTS LLC | RICHMOND | VA | $315K |
| TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC | FLOWER MOUND | TX | $283K |
| GASTROENTEROLOGY CONSULTANTS, PLLC | HOUSTON | TX | $110K |
| GASTROINTESTINAL ASSOCIATES, PA | FLOWOOD | MS | $36K |
| ADRIANA POP-MOODY MD CLINIC PLLC | CORPUS CHRISTI | TX | $21K |
| GASTROINTESTINAL ASSOCIATES, LLC | COLUMBIA | MO | $2K |
| CAROLINA DIGESTIVE DISEASE PA | COLUMBIA | SC | $780.44 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 146 | $9K |
| 2019 | 162 | $7K |
| Code | Description | Claims | Beneficiaries | 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 | 165 | 121 | $9K |
| 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 | 143 | 105 | $7K |