ACTIVE LIFE, LLC
NPI: 1689942294
· ORANGE, CA 92868
· Prosthetic/Orthotic Supplier
· NPI assigned 12/09/2011
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | NEMANI, PALLAVI (COMPLIANCE OFFICER) |
| NPI Enumeration Date | 12/09/2011 |
Related Entities
Other providers sharing the same authorized official: NEMANI, PALLAVI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
49 |
$0.00 |
Billing Codes
| 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 |
49 |
25 |
$0.00 |