NPI: 1952310963 · ORANGE PARK, FL 32065 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/07/2006
| Authorized Official | BOGER, BRETT (DIRECTOR) |
| NPI Enumeration Date | 08/07/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 56 | $0.00 |
| 2019 | 66 | $0.00 |
| 2020 | 143 | $178.20 |
| 2021 | 34 | $51.58 |
| 2023 | 70 | $0.00 |
| 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 | 228 | 105 | $229.78 |
| 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 | 141 | 69 | $0.00 |