NPI: 1821566639 · INDIANAPOLIS, IN 46220 · Durable Medical Equipment & Medical Supplies
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 80 | $2K |
| 2024 | 32 | $1K |
| 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 | 78 | 28 | $3K |
| A5501 | For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe | 34 | 14 | $608.72 |