NPI: 1679976393 · FREMONT, CA 94539 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 168 | $3K |
| 2024 | 761 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L0648 | Lso sag r an/pos pnl pre ots | 65 | 63 | $24K |
| E0676 | Inter limb compress dev nos | 698 | 611 | $23K |
| L0621 | Sio flex pelvic/sacr pre ots | 49 | 49 | $2K |
| A5513 | Multi den insert custom mold | 44 | 27 | $1K |
| A5500 | Diab shoe for density insert | 60 | 30 | $961.98 |
| A6530 | Compression stocking bk18-30 | 13 | 13 | $229.90 |