Supplier
Ortho & Surgical Solutions, INC
Ortho & Surgical Solutions, INC was paid $7.75M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is L8699, Prosthetic implant, not otherwise specified — 100% of everything it billed.
33Billing provider infoORTHO & SURGICAL SOLUTIONS, INC
GUAYNABO, PR 00968
GUAYNABO, PR 00968
33aNPI1114256815assigned 12/09/2009
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$7.75M
24GClaims3,313
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Prosthetic/Orthotic Supplier providers in Puerto Rico
Rank by total paid#5 of 12
Median peer was paid$2.24M
This provider vs. median3.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code L8699 with only 1 total codes billed. Highly concentrated billing profile.
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 | 428 | $934K | |
| 2019 | 408 | $1.25M | |
| 2020 | 247 | $550K | |
| 2021 | 463 | $953K | |
| 2022 | 464 | $1.01M | |
| 2023 | 556 | $1.29M | |
| 2024incomplete | 747 | $1.76M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L8699 | Prosthetic implant, not otherwise specified | 100% | 3,313 | 2,828 | $7.75M |
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 officialNIEVES, ISANDER (PRESIDENT)