NPI: 1982057394 · ONTARIO, CA 91764 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/20/2016
Authorized official ANGELINE, GRACE controls 20+ related entities in our dataset. Read more
| Authorized Official | ANGELINE, GRACE (PROVIDER CONTRACT ANALYST III) |
| Parent Organization | HANGER INC |
| NPI Enumeration Date | 07/20/2016 |
Other providers sharing the same authorized official: ANGELINE, GRACE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 250 | $21K |
| 2022 | 307 | $89K |
| 2023 | 241 | $35K |
| 2024 | 30 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 288 | 194 | $115K |
| 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 | 394 | 266 | $26K |
| 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 | 146 | 116 | $12K |