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L0635
Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment
Medicaid paid $760K on code L0635 from 2018 through 2024, to 7 providers — the #4,197 code in the file by dollars. 70% of it was billed in Tennessee.
28Total paid$760K
24GClaims1,412
Paid per claim line$538.45
33Providers billing it7
Box 32 · Location
Where L0635 is billed
The largest of 5 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 L0635
| # | Provider | Location | Claims | Paid on L0635 |
|---|---|---|---|---|
| 1 | Opry Medical Group LLC | Nashville, TN | 824 | $521K |
| 2 | ST Ann Ortho Fitting LLC | Bayonne, NJ | 317 | $165K |
| 3 | Grace Medical Supplies LTD | Aurora, CO | 177 | $30K |
| 4 | Ideal Health Care LLC | Edison, NJ | 45 | $18K |
| 5 | Mmi Holdings LLC | Concord, NC | 18 | $11K |
| 6 | Aaa DME LLC | Nashville, TN | 19 | $10K |
| 7 | American Home Medical Services INC | Tulsa, OK | 12 | $6K |