Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Orthotic Prosthetic Center, INC

Orthotic Prosthetic Center, INC was paid $204K by Medicaid between Jan 2018 and Aug 2024, across 13 billing codes. Its largest line is L4360, Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise — 44% of everything it billed.

33Billing provider infoORTHOTIC PROSTHETIC CENTER, INC
TOLEDO, OH 43615
33aNPI1174529937assigned 06/24/2005
28Total paid$204K
24GClaims3,102
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in Ohio

Rank by total paid#14 of 37
Median peer was paid$45K
This provider vs. median4.5×

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

$0$5.0K$10K2018201920202021202220232024
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
2018776$42K
2019943$52K
2020491$36K
2021450$43K
2022308$25K
202356$1K
2024incomplete78$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 44% 564 552 $89K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf 21% 684 674 $43K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 14% 700 625 $29K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 5.0% 450 443 $10K
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 4.6% 450 213 $9K
L0639 Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 3.0% 12 12 $6K
L3807 Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 2.8% 46 37 $6K
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 2.5% 77 74 $5K
L3020 Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each 1.5% 26 13 $3K
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 17 17 $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 <1% 46 27 $1K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf <1% 14 14 $667.66
1 more codes
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section <1% 16 $581.06

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 officialCOLE, ANN (OWNER)