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

Bristol Orthotics & Prosthetics INC.

Bristol Orthotics & Prosthetics INC. was paid $172K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is A5513, For diabetics only, multiple density insert, custom molded from model of patient's foot, 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 — 42% of everything it billed.

33Billing provider infoBRISTOL ORTHOTICS & PROSTHETICS INC.
BRISTOL, TN 37620
33aNPI1033132378assigned 07/26/2006
28Total paid$172K
24GClaims8,902
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in Tennessee

Rank by total paid#10 of 27
Median peer was paid$49K
This provider vs. median3.5×

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
20181,225$35K
20191,549$24K
20201,507$27K
20211,324$22K
20221,118$23K
20231,576$34K
2024incomplete603$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A5513 For diabetics only, multiple density insert, custom molded from model of patient's foot, 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 42% 3,769 1,727 $73K
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 26% 3,924 1,747 $45K
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 9.3% 373 254 $16K
L2370 Addition to lower extremity, patten bottom 8.4% 173 78 $14K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 8.3% 550 319 $14K
L3020 Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each 2.1% 30 13 $4K
L2340 Addition to lower extremity, pre-tibial shell, molded to patient model 2.0% 28 14 $3K
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined <1% 31 12 $1K
L2755 Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only <1% 24 12 $1K

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 officialGRAYBEAL, JOSHUA (CFO)