NPI: 1972650802 · CHICAGO, IL 60614 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 67 | $5K |
| 2019 | 12 | $1K |
| 2020 | 31 | $4K |
| 2021 | 60 | $12K |
| 2022 | 41 | $2K |
| 2023 | 161 | $20K |
| 2024 | 171 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3010 | Foot longitudinal arch suppo | 191 | 123 | $36K |
| A5500 | Diab shoe for density insert | 155 | 93 | $14K |
| A5513 | Multi den insert custom mold | 149 | 96 | $8K |
| L4360 | Pneumat walking boot pre cst | 12 | 12 | $1K |
| L2275 | Plastic mod low ext pad/line | 19 | 14 | $1K |
| L2820 | Soft interface below knee se | 17 | 12 | $935.33 |