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L0628
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
Medicaid paid $513K on code L0628 from 2018 through 2024, to 14 providers — the #4,562 code in the file by dollars. 44% of it was billed in California.
28Total paid$513K
24GClaims9,837
Paid per claim line$52.13
33Providers billing it14
Box 32 · Location
Where L0628 is billed
The largest of 8 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 L0628
| # | Provider | Location | Claims | Paid on L0628 |
|---|---|---|---|---|
| 1 | Advanced Home Medical INC | Walnut, CA | 4,381 | $217K |
| 2 | Fairview Health Services | Saint Paul, MN | 1,449 | $94K |
| 3 | Simplistic Medical, LLC | Albuquerque, NM | 1,429 | $79K |
| 4 | Bio-Tech Prosthetics and Orthotics, INC | Greensboro, NC | 547 | $33K |
| 5 | Dehan Home Medical Equipment | Morton Grove, IL | 293 | $27K |
| 6 | Sportopedics Medical Shoppe INC. | Dayton, OH | 616 | $23K |
| 7 | SSV Pharmacy 1 LLC | Hartford, CT | 264 | $13K |
| 8 | Integra Partners LLC | Troy, MI | 228 | $12K |
| 9 | Lasalle Medical Associates | Redlands, CA | 94 | $4K |
| 10 | General Home Medical Supply | Westlake Village, CA | 378 | $3K |
| 11 | Steinmann Enterprises INC. | Las Cruces, NM | 31 | $2K |
| 12 | Crosby's Drugs, INC. | Columbus, OH | 55 | $2K |
| 13 | Alcam Medical, INC. | Riverside, CA | 55 | $2K |
| 14 | Genesis Respiratory Services INC | New Boston, OH | 17 | $756.99 |