NPI: 1649408568 · SEATTLE, WA 98109 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/30/2009
| Authorized Official | WALLEY, SOMMER (INTERIM CEO) |
| Parent Organization | HARBORVIEW MEDICAL CENTER |
| NPI Enumeration Date | 06/30/2009 |
Other providers sharing the same authorized official: WALLEY, SOMMER
| Provider | City | State | Total Paid |
|---|---|---|---|
| HARBORVIEW MEDICAL CENTER | SEATTLE | WA | $8K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 36 | $901.13 |
| 2022 | 62 | $2K |
| 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 | 66 | 24 | $2K |
| 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 | 32 | 12 | $662.50 |