PAULS SHOE REPAIR AND SALES INC.
NPI: 1750573648
· GLENDALE, CA 91205
· 335E00000X
$128K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,129 |
$11K |
| 2019 |
1,791 |
$15K |
| 2020 |
2,056 |
$29K |
| 2021 |
1,889 |
$32K |
| 2022 |
1,825 |
$25K |
| 2023 |
1,721 |
$9K |
| 2024 |
4,996 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A5500 |
Diab shoe for density insert |
7,722 |
4,153 |
$95K |
| A5512 |
Multi den insert direct form |
7,685 |
4,141 |
$34K |