Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST, LLC

NPI: 1285038489 · GALVESTON, TX 77550 · Prosthetic/Orthotic Supplier · NPI assigned 10/16/2014

$7K
Total Medicaid Paid
63
Total Claims
36
Beneficiaries
2
Codes Billed
2020-12
First Month
2020-12
Last Month

Provider Details

Authorized OfficialROEHRS, MEREDITH (MANAGER)
Parent OrganizationPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST LLC
NPI Enumeration Date10/16/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 63 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated 34 21 $6K
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 29 15 $1K