WOMENS IMAGE CENTER
NPI: 1669706719
· WORCESTER, MA 01610
· Prosthetic/Orthotic Supplier
· NPI assigned 09/22/2009
$175K
Total Medicaid Paid
Provider Details
| Authorized Official | AFRAME, MARY (OWNER) |
| Parent Organization | WOMENS IMAGE CENTER |
| NPI Enumeration Date | 09/22/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$682.93 |
| 2019 |
155 |
$5K |
| 2020 |
122 |
$42K |
| 2021 |
203 |
$10K |
| 2022 |
330 |
$21K |
| 2023 |
454 |
$69K |
| 2024 |
415 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L8035 |
Custom breast prosthesis, post mastectomy, molded to patient model |
25 |
25 |
$76K |
| L8030 |
Breast prosthesis, silicone or equal, without integral adhesive |
426 |
386 |
$62K |
| L8000 |
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type |
1,255 |
1,217 |
$38K |