Supplier
Gema
Gema was paid $102K by Medicaid between Jan 2018 and Mar 2019, across 6 billing codes. Its largest line is L3010, Foot, insert, removable, molded to patient model, longitudinal arch support, each — 50% of everything it billed.
33Billing provider infoGEMA
CHICAGO, IL 60659
CHICAGO, IL 60659
33aNPI1083661797assigned 05/28/2006
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$102K
24GClaims779
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Prosthetic/Orthotic Supplier providers in Illinois
Rank by total paid#16 of 24
Median peer was paid$212K
This provider vs. median0.5×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 596 | $81K | |
| 2019 | 183 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | 50% | 270 | 228 | $51K |
| 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 | 29% | 298 | 271 | $30K |
| L1960 | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated | 11% | 18 | 12 | $11K |
| 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 | 6.8% | 149 | 131 | $7K |
| 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 | 2.6% | 31 | 26 | $3K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 13 | 13 | $841.50 |
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 officialLAZARDE, ROSEMARIE (OFFICE MANAGER)