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

Diabetic Shoe Source

Diabetic Shoe Source was paid $31K by Medicaid between Jan 2018 and Feb 2020, across 2 billing codes. Its largest line is A5512, For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each — 53% of everything it billed.

33Billing provider infoDIABETIC SHOE SOURCE
EAGAN, MN 55122
33aNPI1003960147assigned 01/23/2007
28Total paid$31K
24GClaims532
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Minnesota

Rank by total paid#155 of 319
Median peer was paid$23K
This provider vs. median1.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018104$763.80
2019132$10K
2020296$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A5512 For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each 53% 266 177 $17K
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 47% 266 177 $15K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLUZAICH, AMY (PRESIDENT)