NPI: 1770078156 · MIDDLE VILLAGE, NY 11379 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/27/2018
| Authorized Official | AMINOV, SAMION (PRESIDENT) |
| NPI Enumeration Date | 06/27/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 65 | $429.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 33 | 31 | $429.60 |
| L2397 | Addition to lower extremity orthosis, suspension sleeve | 16 | 15 | $0.00 |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | 16 | 15 | $0.00 |