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.
BRISTOL, TN 37620
Next to other Prosthetic/Orthotic Supplier providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,225 | $35K | |
| 2019 | 1,549 | $24K | |
| 2020 | 1,507 | $27K | |
| 2021 | 1,324 | $22K | |
| 2022 | 1,118 | $23K | |
| 2023 | 1,576 | $34K | |
| 2024incomplete | 603 | $7K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.