Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pediatric Orthotic and Prosthetic Services- West, LLC

Pediatric Orthotic and Prosthetic Services- West, LLC was paid $79K by Medicaid between Mar 2018 and Apr 2023, across 4 billing codes. Its largest line is L1930, Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment — 49% of everything it billed.

33Billing provider infoPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
SALT LAKE CITY, UT 84103
33aNPI1225430150assigned 09/23/2014
28Total paid$79K
24GClaims553
24DCodes billed4
24AFirst – last monthMar 2018 – Apr 2023
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
201854$8K
201941$6K
202099$13K
2021205$41K
2022122$10K
202332$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L1930 Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment 49% 304 153 $39K
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated 45% 113 67 $35K
L2280 Addition to lower extremity, molded inner boot 4.7% 111 56 $4K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 1.2% 25 13 $973.55

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 officialDRAPER, DAVID (DIRECTOR)
Parent organizationPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC