NPI: 1932657103 · VACAVILLE, CA 95688 · Prosthetic/Orthotic Supplier · NPI assigned 09/16/2016
| Authorized Official | AUXIER, KATI (COO) |
| NPI Enumeration Date | 09/16/2016 |
Other providers sharing the same authorized official: AUXIER, KATI
| Provider | City | State | Total Paid |
|---|---|---|---|
| RESTORE MEDICAL INC. | MODESTO | CA | $282K |
| RESTORE MEDICAL INC | FRESNO | CA | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 52 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 28 | 14 | $949.80 |
| 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 | 24 | 13 | $520.38 |