Supplier
American Orthotics & Prosthetics, LLC.
American Orthotics & Prosthetics, LLC. was paid $1.45M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is L3000, Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each — 46% of everything it billed.
33Billing provider infoAMERICAN ORTHOTICS & PROSTHETICS, LLC.
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
33aNPI1104856806assigned 07/05/2006
33bProvider typeCustomized Equipment (DME)
28Total paid$1.45M
24GClaims9,597
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Customized Equipment (DME) providers in California
Rank by total paid#14 of 65
Median peer was paid$216K
This provider vs. median6.7×
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 | 644 | $79K | |
| 2019 | 835 | $112K | |
| 2020 | 726 | $86K | |
| 2021 | 694 | $110K | |
| 2022 | 1,165 | $206K | |
| 2023 | 2,808 | $413K | |
| 2024incomplete | 2,725 | $439K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 46% | 1,826 | 1,534 | $660K |
| 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 | 11% | 1,947 | 1,627 | $166K |
| L1970 | Ankle foot orthosis, plastic with ankle joint, custom fabricated | 11% | 301 | 272 | $158K |
| 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 | 9.8% | 2,194 | 1,790 | $142K |
| A6545 | Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each | 9.5% | 844 | 613 | $138K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 5.3% | 994 | 929 | $77K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 4.0% | 693 | 638 | $58K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 2.4% | 614 | 540 | $35K |
| L2220 | Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint | <1% | 144 | 134 | $9K |
| L4396 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 15 | 14 | $2K |
| L1906 | Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf | <1% | 13 | 12 | $1K |
| L1810 | Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 12 | 12 | $806.83 |
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 officialSULIS, DAVID (PROSTHETIST ORTHOTIST (OWNER))