Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROTHOTICS TECHNOLOGY INC

NPI: 1285027557 · BRONX, NY 10451 · Prosthetic/Orthotic Supplier · NPI assigned 03/11/2015

$7K
Total Medicaid Paid
41
Total Claims
41
Beneficiaries
2
Codes Billed
2021-07
First Month
2021-11
Last Month

Provider Details

Authorized OfficialAFFENITA, JOHN (PRESIDENT)
NPI Enumeration Date03/11/2015

Related Entities

Other providers sharing the same authorized official: AFFENITA, JOHN

ProviderCityStateTotal Paid
PRO-THOTICS TECHNOLOGY INC EAST PATCHOGUE NY $92K
PEGASUS DME INC OAKDALE NY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 41 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L2114 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment 29 29 $7K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 12 12 $294.96