NPI: 1700832227 · FORT COLLINS, CO 80525 · Prosthetic/Orthotic Supplier · NPI assigned 05/26/2006
| Authorized Official | MATSUSHIMA, GLENN (MEMBER) |
| NPI Enumeration Date | 05/26/2006 |
Other providers sharing the same authorized official: MATSUSHIMA, GLENN
| Provider | City | State | Total Paid |
|---|---|---|---|
| PROSTHETIC & ORTHOTIC GROUP SAN GABRIEL VALLEY, INC | DUARTE | CA | $2.07M |
| PROSTHETIC & ORTHOTIC GROUP, INC | SIGNAL HILL | CA | $753K |
| PROSTHETIC & ORTHOTIC GROUP, INC | WHITTIER | CA | $44K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 121 | $13K |
| 2019 | 106 | $10K |
| 2020 | 14 | $1K |
| 2021 | 146 | $21K |
| 2022 | 130 | $19K |
| 2023 | 81 | $12K |
| 2024 | 47 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 256 | 231 | $40K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 251 | 232 | $24K |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | 32 | 28 | $8K |
| L3202 | Orthopedic shoe, oxford with supinator or pronator, child | 89 | 81 | $7K |
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | 17 | 13 | $3K |