NPI: 1720511934 · QUINCY, MA 02169 · Prosthetic/Orthotic Supplier · NPI assigned 04/05/2017
| Authorized Official | MARTINO, MARY (TREASURER) |
| NPI Enumeration Date | 04/05/2017 |
Other providers sharing the same authorized official: MARTINO, MARY
| Provider | City | State | Total Paid |
|---|---|---|---|
| UNITED PROSTHETICS, INC | DORCHESTER | MA | $435K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 26 | $2K |
| 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 | 13 | 12 | $780.05 |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 13 | 12 | $777.60 |