Supplier
Pedorthic Technologies INC
Pedorthic Technologies INC was paid $4K by Medicaid between Sep 2019 and Apr 2024, across 2 billing codes. Its largest line is 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 — 60% of everything it billed.
33Billing provider infoPEDORTHIC TECHNOLOGIES INC
CRANSTON, RI 02905
CRANSTON, RI 02905
33aNPI1093870743assigned 12/23/2006
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$4K
24GClaims90
24DCodes billed2
24AFirst – last monthSep 2019 – Apr 2024
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 | |
|---|---|---|---|
| 2019 | 26 | $667.92 | |
| 2024incomplete | 64 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 59 | 26 | $2K |
| 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 | 40% | 31 | 14 | $2K |
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 officialPALMER, ERIC (OWNER PRESIDENT)