1265445464

1265445464 was paid $802K by Medicaid between Jan 2018 and Sep 2023, across 5 billing codes. Its largest line is L3010, Foot, insert, removable, molded to patient model, longitudinal arch support, each — 59% of everything it billed.

33Billing provider info1265445464

33aNPI1265445464

33bProvider type—

28Total paid$802K

24GClaims9,985

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2023

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	994	$124K
2019	1,823	$129K
2020	1,667	$120K
2021	1,907	$140K
2022	1,997	$134K
2023	1,597	$155K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L3010	Foot, insert, removable, molded to patient model, longitudinal arch support, each	59%	2,961	1,842	$471K
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	14%	1,992	1,148	$111K
L3216	Orthopedic footwear, ladies shoe, depth inlay, each	12%	1,933	1,199	$98K
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	9.2%	2,214	1,248	$74K
L3221	Orthopedic footwear, mens shoe, depth inlay, each	5.9%	885	548	$47K

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.