NPI: 1962409995 · HUGO, MN 55038 · Prosthetic/Orthotic Supplier · NPI assigned 07/05/2005
| Authorized Official | WAGNER, TERRI (CERTIFIED PEDORTHIST) |
| NPI Enumeration Date | 07/05/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 48 | $2K |
| 2019 | 56 | $17K |
| 2021 | 118 | $34K |
| 2022 | 384 | $82K |
| 2023 | 745 | $158K |
| 2024 | 657 | $144K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | 1,402 | 655 | $302K |
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | 494 | 322 | $98K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 112 | 51 | $36K |