NPI: 1780689646 · PEMBROKE PINES, FL 33024 · Prosthetic/Orthotic Supplier · NPI assigned 06/16/2005
| Authorized Official | HUSE, MELISSA (CEO) |
| NPI Enumeration Date | 06/16/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 74 | $430.06 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 35 | 14 | $430.06 |
| 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 | 39 | 15 | $0.00 |