Supplier
Central Prosthetics & Orthotics INC
Central Prosthetics & Orthotics INC was paid $91K by Medicaid between Jan 2018 and Oct 2020, across 9 billing codes. Its largest line is L3020, Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each — 62% of everything it billed.
33Billing provider infoCENTRAL PROSTHETICS & ORTHOTICS INC
LEXINGTON, KY 40509
LEXINGTON, KY 40509
33aNPI1275628430assigned 10/04/2006
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$91K
24GClaims1,068
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Prosthetic/Orthotic Supplier providers in Kentucky
Rank by total paid#9 of 15
Median peer was paid$338K
This provider vs. median0.3×
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 | 832 | $62K | |
| 2019 | 185 | $23K | |
| 2020 | 51 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | 62% | 455 | 220 | $56K |
| 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 | 18% | 241 | 137 | $16K |
| 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 | 9.3% | 203 | 107 | $8K |
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | 3.0% | 25 | 12 | $3K |
| 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 | 2.3% | 37 | 13 | $2K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 2.2% | 32 | 27 | $2K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 1.7% | 32 | 28 | $2K |
| 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 | <1% | 15 | 12 | $889.98 |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 28 | 27 | $748.41 |
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 officialGILDEHAUS, ED (PRESIDENT OWNER)