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

Pacific Pedorthic Services

Pacific Pedorthic Services was paid $12K by Medicaid between Mar 2018 and Oct 2020, across 6 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 infoPACIFIC PEDORTHIC SERVICES
LAS VEGAS, NV 89107
33aNPI1053528828assigned 05/17/2007
28Total paid$12K
24GClaims455
24DCodes billed6
24AFirst – last monthMar 2018 – Oct 2020
Compared with peers

Next to other Customized Equipment (DME) providers in Nevada

Rank by total paid#10 of 12
Median peer was paid$65K
This provider vs. median0.2×

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$2.0K$4.0K2018201920202021202220232024
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
2018229$6K
2019201$5K
202025$793.47
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% 217 95 $5K
L1845 Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 29% 73 13 $3K
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 13% 66 29 $1K
E0143 Walker, folding, wheeled, adjustable or fixed height 7.4% 37 18 $850.64
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 6.9% 25 13 $793.47
E0156 Seat attachment, walker 2.2% 37 18 $251.26

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 officialHIGHAM, NATHAN (PRESIDENT)