Supplier
Southern Orthocare INC
Southern Orthocare INC was paid $239K by Medicaid between Mar 2018 and Jul 2024, across 17 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 — 19% of everything it billed.
33Billing provider infoSOUTHERN ORTHOCARE INC
MORRISTOWN, TN 37814
MORRISTOWN, TN 37814
33aNPI1215134986assigned 06/27/2007
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$239K
24GClaims4,960
24DCodes billed17
24AFirst – last monthMar 2018 – Jul 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Tennessee
Rank by total paid#103 of 296
Median peer was paid$15K
This provider vs. median15×
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 | 84 | $5K | |
| 2019 | 110 | $2K | |
| 2020 | 392 | $9K | |
| 2021 | 558 | $17K | |
| 2022 | 1,158 | $60K | |
| 2023 | 2,028 | $124K | |
| 2024incomplete | 630 | $22K |
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 | 19% | 2,294 | 1,001 | $46K |
| L5620 | Addition to lower extremity, test socket, below knee | 13% | 237 | 164 | $31K |
| L5645 | Addition to lower extremity, below knee, flexible inner socket, external frame | 9.8% | 114 | 85 | $23K |
| 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 | 8.8% | 559 | 269 | $21K |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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 | 8.7% | 729 | 327 | $21K |
| L5910 | Addition, endoskeletal system, below knee, alignable system | 7.8% | 198 | 141 | $19K |
| L5637 | Addition to lower extremity, below knee, total contact | 7.1% | 232 | 160 | $17K |
| L5700 | Replacement, socket, below knee, molded to patient model | 7.1% | 29 | 26 | $17K |
| L5940 | Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) | 6.9% | 126 | 91 | $17K |
| L5629 | Addition to lower extremity, below knee, acrylic socket | 5.1% | 159 | 114 | $12K |
| L5671 | Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert | 1.9% | 31 | 24 | $4K |
| L5679 | Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism | 1.8% | 21 | 12 | $4K |
5 more codes
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 1.2% | 76 | $3K |
| L8420 | Prosthetic sock, multiple ply, below knee, each | <1% | 59 | $2K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 12 | $706.82 |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | <1% | 26 | $659.12 |
| L8470 | Prosthetic sock, single ply, fitting, below knee, each | <1% | 58 | $561.49 |
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 officialHUNTSMAN, JOSEPH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Brookwell Health LLC | Morristown, TN | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.