NPI: 1902504970 · JONESBORO, AR 72401 · Prosthetic/Orthotic Supplier · NPI assigned 02/20/2023
| Authorized Official | NEMANI, PALLAVI (COMPLIANCE OFFICER) |
| NPI Enumeration Date | 02/20/2023 |
Other providers sharing the same authorized official: NEMANI, PALLAVI
| Provider | City | State | Total Paid |
|---|---|---|---|
| ACTIVE LIFE, LLC | GLENDALE | CA | $1.75M |
| ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP. | SANTA FE | NM | $107K |
| ACTIVE LIFE, LLC | NORTHRIDGE | CA | $54K |
| ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP | ALBUQUERQUE | NM | $50K |
| ACTIVE LIFE, LLC | LOS ANGELES | CA | $30K |
| ACTIVE LIFE, LLC | REDLANDS | CA | $24K |
| OTTO BOCK PATIENT CARE, LLC | ASHEVILLE | NC | $6K |
| ACTIVE LIFE, LLC | LOS ANGELES | CA | $3K |
| ACTIVE LIFE, LLC | SAN DIEGO | CA | $1K |
| ACTIVE LIFE, LLC | ORANGE | CA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 770 | $78K |
| 2024 | 387 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L1907 | Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated | 68 | 35 | $29K |
| L3202 | Orthopedic shoe, oxford with supinator or pronator, child | 702 | 202 | $18K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 178 | 93 | $18K |
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | 105 | 50 | $14K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 76 | 42 | $5K |
| L2840 | Addition to lower extremity orthosis, tibial length sock, fracture or equal, each | 28 | 16 | $1K |