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K0903
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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
Medicaid paid $143K on code K0903 from 2018 through 2024, to 25 providers — the #5,765 code in the file by dollars. 33% of it was billed in Oregon.
28Total paid$143K
24GClaims5,076
Paid per claim line$28.12
33Providers billing it25
Box 32 · Location
Where K0903 is billed
The largest of 15 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing K0903
| # | Provider | Location | Claims | Paid on K0903 |
|---|---|---|---|---|
| 1 | Pacific Footwear Company, INC. | Portland, OR | 1,318 | $47K |
| 2 | Diabetic Solutions, LLC | Springfield, OH | 392 | $17K |
| 3 | Pro Medical East LLC | Garnet Valley, PA | 644 | $14K |
| 4 | Cpo Services, INC | Peoria, IL | 258 | $12K |
| 5 | Ad Medical Supply, INC. | Chicago, IL | 230 | $10K |
| 6 | Custom Care Orthotics and Prosthetics, INC. | Heath, OH | 144 | $6K |
| 7 | M & R of Fredricktown LTD. INC. | Canton, OH | 147 | $6K |
| 8 | Cumberland Foot & Ankle Centers | Somerset, KY | 44 | $5K |
| 9 | VGM Group, INC. | Waterloo, IA | 105 | $5K |
| 10 | 1578559332 | 122 | $5K | |
| 11 | Ace Medical LLC | Huntington, WV | 48 | $4K |
| 12 | Restorative Support Systems Co | Canfield, OH | 94 | $3K |
| 13 | Bionic Prosthetics and Orthotics Group LLC | Merrillville, IN | 85 | $2K |
| 14 | Orthopro of Lewiston INC | Lewiston, ID | 22 | $1K |
| 15 | Quantum Medical Supply, INC. | West Palm Beach, FL | 53 | $888.62 |
| 16 | Dondell INC. | Boise, ID | 15 | $816.19 |
| 17 | The Winkley Company | Rice Lake, WI | 17 | $614.40 |
| 18 | Healthdrive Podiatry Group, PC | Dublin, OH | 58 | $608.89 |
| 19 | MD Orthotic and Prosthetic Laboratory, INC | Joliet, IL | 15 | $509.59 |
| 20 | Simon Medical Services, INC. | Natick, MA | 13 | $470.43 |
| 21 | Southern Delaware Foot & Ankle LLC | Seaford, DE | 28 | $287.49 |
| 22 | Hanger Prosthetics & Orthotic INC | Nashville, TN | 50 | $265.70 |
| 23 | All American Medical Supplies, LLC | Hollywood, FL | 37 | $104.54 |
| 24 | Baker Foot Solutions Corp | Anderson, IN | 69 | $97.50 |
| 25 | Southern Discount Drugs of Charleston INC | Charleston, MS | 1,068 | $0.00 |