1295286318

1295286318 was paid $56K by Medicaid between Mar 2018 and Nov 2022, across 12 billing codes. Its largest line is L1971, Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment — 37% of everything it billed.

33Billing provider info1295286318

33aNPI1295286318

33bProvider type—

28Total paid$56K

24GClaims1,183

24DCodes billed12

24AFirst – last monthMar 2018 – Nov 2022

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	24	$741.76
2019	48	$565.20
2021	654	$29K
2022	457	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L1971	Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment	37%	223	175	$21K
L3030	Foot, insert, removable, formed to patient foot, each	36%	464	353	$21K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	7.4%	38	29	$4K
L3225	Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)	4.2%	101	85	$2K
L3224	Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)	4.2%	107	96	$2K
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	3.6%	98	64	$2K
A5512	For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each	2.3%	74	52	$1K
L0627	Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	1.4%	12	12	$765.39
L3221	Orthopedic footwear, mens shoe, depth inlay, each	1.3%	21	16	$734.11
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	1.1%	13	13	$641.65
L3216	Orthopedic footwear, ladies shoe, depth inlay, each	<1%	17	12	$491.66
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	15	13	$391.14

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.