NPI: 1811269129 · OREGON CITY, OR 97045 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/01/2012
| Authorized Official | O'NEILL, TIMOTHY (OWNER) |
| NPI Enumeration Date | 02/01/2012 |
Other providers sharing the same authorized official: O'NEILL, TIMOTHY
| Provider | City | State | Total Paid |
|---|---|---|---|
| COLORADO ORTHOTIC & PROSTHETIC SERVICES, LLC | DENVER | CO | $241K |
| EVERGREEN PROSTHETICS AND ORTHOTICS, LLC | VANCOUVER | WA | $68K |
| EVERGREEN PROSTHETICS AND ORTHOTICS, LLC | PORTLAND | OR | $58K |
| EVERGREEN PROSTHETICS AND ORTHOTICS, LLC | PORTLAND | OR | $17K |
| EVERGREEN PROSTHETICS AND ORTHOTICS, LLC | GRESHAM | OR | $1K |
| EVERGREEN PROSTHETICS AND ORTHOTICS, LLC | HILLSBORO | OR | $910.21 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 39 | $2K |
| 2022 | 94 | $3K |
| 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 | 66 | 43 | $3K |
| 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 | 67 | 43 | $2K |