Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Urban Podiatry LLC

Urban Podiatry LLC was paid $214K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 11765, — 39% of everything it billed.

33Billing provider infoURBAN PODIATRY LLC
COLUMBUS, OH 43214
33aNPI1194957993assigned 08/13/2009
28Total paid$214K
24GClaims7,154
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Foot & Ankle Surgery Podiatrist providers in Ohio

Rank by total paid#25 of 149
Median peer was paid$15K
This provider vs. median14×

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
20181,334$43K
20191,249$38K
20201,124$38K
20211,001$30K
2022834$24K
2023887$23K
2024incomplete725$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11765 39% 2,162 1,180 $82K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 2,355 2,132 $70K
11721 13% 2,203 2,086 $29K
L3020 Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each 13% 289 148 $27K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 32 28 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 25 25 $1K
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% 13 12 $1K
17110 <1% 17 12 $771.90
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 <1% 32 14 $668.02
A5512 For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each <1% 26 12 $272.60

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 officialBERTOLO, SCOT (SOLE MEMBER OF LLC)