NPI: 1699227009 · CARMICHAEL, CA 95608 · 335E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 250 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L5301 | Bk mold socket sach ft endo | 13 | 12 | $19K |
| L5679 | Socket insert w/o lock mech | 18 | 16 | $12K |
| L5647 | Below knee suction socket | 16 | 14 | $8K |
| L5940 | Endo bk ultra-light material | 22 | 20 | $7K |
| L5620 | Test socket below knee | 22 | 20 | $6K |
| L5910 | Endo below knee alignable sy | 22 | 20 | $5K |
| L5629 | Below knee acrylic socket | 22 | 20 | $4K |
| L5637 | Below knee total contact | 22 | 20 | $4K |
| L5685 | Below knee sus/seal sleeve | 19 | 17 | $3K |
| L8420 | Prosthetic sock multi ply bk | 23 | 21 | $2K |
| L8440 | Shrinker below knee | 18 | 16 | $901.72 |
| L8400 | Sheath below knee | 13 | 13 | $711.36 |
| L8470 | Pros sock single ply bk | 20 | 18 | $491.52 |