NPI: 1689606170 · LINCOLN, NE 68510 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 924 | $69K |
| 2019 | 1,126 | $56K |
| 2020 | 1,068 | $47K |
| 2021 | 809 | $34K |
| 2022 | 874 | $44K |
| 2023 | 294 | $11K |
| 2024 | 48 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A5513 | Multi den insert custom mold | 1,687 | 940 | $94K |
| A5500 | Diab shoe for density insert | 2,413 | 1,361 | $77K |
| L3216 | Orthoped ladies shoes dpth i | 385 | 184 | $47K |
| L3030 | Foot arch support remov prem | 552 | 272 | $37K |
| L3020 | Foot longitud/metatarsal sup | 26 | 12 | $4K |
| L3221 | Orthopedic mens shoes dpth i | 28 | 13 | $4K |
| A5512 | Multi den insert direct form | 52 | 47 | $2K |