Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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L0464

Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment

Medicaid paid $883K on code L0464 from 2018 through 2024, to 12 providers — the #4,059 code in the file by dollars. 79% of it was billed in California.

28Total paid$883K
24GClaims2,291
Paid per claim line$385.61
33Providers billing it12
Box 32 · Location

Where L0464 is billed

  1. $700K
  2. $92K
  3. $59K
  4. $15K
  5. $13K
  6. $3.4K

The largest of 6 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 L0464

#ProviderLocationClaimsPaid on L0464
1 Pacific Medical, INC. Tracy, CA 730 $392K
2 Djo, LLC Carlsbad, CA 273 $211K
3 Gould's Discount Medical LLC Louisville, KY 195 $92K
4 Pongratz Orthotics and Prosthetics, INC. Phoenix, AZ 103 $59K
5 Breg, INC. Carlsbad, CA 73 $52K
6 Diamond Respiratory Care INC Riverside, CA 707 $37K
7 Grace Healthcare Incorporated Baton Rouge, LA 51 $13K
8 Ideal Health Care LLC Edison, NJ 35 $11K
9 West Coast DME & Supplies LLC Riverside, CA 14 $7K
10 Professional Pulmonary Service, INC Woodbury, NJ 14 $4K
11 Infinity Medical Equipment Group LLC West Palm Beach, FL 31 $3K
12 Idamed INC Fountain Valley, CA 65 $1K