Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1093717365

1093717365 was paid $2.04M by Medicaid between Feb 2018 and Nov 2024, across 11 billing codes. Its largest line is L1960, Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated — 60% of everything it billed.

33Billing provider info1093717365
33aNPI1093717365
33bProvider type—
28Total paid$2.04M
24GClaims10,400
24DCodes billed11
24AFirst – last monthFeb 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
2018591$81K
20191,380$200K
20201,553$277K
20211,942$385K
20221,792$383K
20232,054$432K
2024incomplete1,088$279K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated 60% 2,850 1,419 $1.21M
L1907 Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated 16% 807 419 $325K
L2340 Addition to lower extremity, pre-tibial shell, molded to patient model 5.4% 441 180 $111K
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 5.2% 1,061 545 $106K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 3.9% 393 192 $79K
L3334 Lift, elevation, heel, per inch 3.7% 2,883 1,463 $76K
L2270 Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad 3.3% 1,559 787 $66K
L2280 Addition to lower extremity, molded inner boot 1.6% 70 38 $32K
L1970 Ankle foot orthosis, plastic with ankle joint, custom fabricated <1% 22 12 $15K
L3540 Orthopedic shoe addition, sole, full <1% 280 162 $12K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section <1% 34 13 $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.