NPI: 1902852056 · NORTHRIDGE, CA 91325 · Prosthetic/Orthotic Supplier · NPI assigned 05/26/2006
| Authorized Official | NEMANI, PALLAVI (COMPLIANCE OFFICER) |
| NPI Enumeration Date | 05/26/2006 |
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 |
| OTTO BOCK PATIENT CARE, LLC | JONESBORO | AR | $85K |
| 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 |
|---|---|---|
| 2020 | 67 | $3K |
| 2021 | 85 | $8K |
| 2022 | 24 | $1K |
| 2023 | 329 | $27K |
| 2024 | 177 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 95 | 53 | $21K |
| 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 | 324 | 173 | $15K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | 106 | 105 | $13K |
| 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 | 157 | 89 | $6K |