Surgi-Care INC
Surgi-Care INC was paid $18.85M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is L4361, Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf — 37% of everything it billed.
BILLERICA, MA 01821
Next to other Durable Medical Equipment & Medical Supplies providers in Massachusetts
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 23,199 | $1.80M | |
| 2019 | 29,080 | $2.19M | |
| 2020 | 25,841 | $2.04M | |
| 2021 | 36,389 | $2.91M | |
| 2022 | 40,930 | $3.29M | |
| 2023 | 45,593 | $3.47M | |
| 2024incomplete | 36,377 | $3.15M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 37% | 34,659 | 34,095 | $7.02M |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | 8.0% | 3,621 | 3,543 | $1.51M |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 7.9% | 34,225 | 31,075 | $1.48M |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | 7.8% | 22,898 | 22,667 | $1.47M |
| L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | 7.8% | 20,163 | 19,906 | $1.47M |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 5.8% | 12,740 | 12,282 | $1.08M |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 5.6% | 41,322 | 41,125 | $1.06M |
| 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 | 4.0% | 9,254 | 8,715 | $753K |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | 3.2% | 12,676 | 12,407 | $602K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 2.1% | 7,808 | 7,526 | $391K |
| L1852 | Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf | 1.9% | 815 | 787 | $366K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 1.8% | 8,662 | 8,533 | $335K |
23 more codes
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | 1.4% | 1,139 | $256K |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | 1.2% | 4,251 | $230K |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 1,711 | $166K |
| L2112 | Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment | <1% | 550 | $119K |
| L3924 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf | <1% | 3,176 | $108K |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | <1% | 1,912 | $104K |
| L4397 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf | <1% | 1,120 | $95K |
| L3260 | Surgical boot/shoe, each | <1% | 6,591 | $93K |
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | <1% | 5,144 | $46K |
| E0135 | Walker, folding (pickup), adjustable or fixed height | <1% | 863 | $23K |
| L0642 | 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, off-the-shelf | <1% | 94 | $20K |
| E0935 | Continuous passive motion exercise device for use on knee only | <1% | 99 | $10K |
| L0120 | Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) | <1% | 817 | $9K |
| L3761 | Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf | <1% | 37 | $9K |
| A4467 | Belt, strap, sleeve, garment, or covering, any type | <1% | 345 | $5K |
| L3923 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 115 | $5K |
| L1930 | Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment | <1% | 28 | $3K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | <1% | 42 | $3K |
| A4565 | Slings | <1% | 388 | $2K |
| E0188 | Synthetic sheepskin pad | <1% | 80 | $2K |
| L4386 | Walking boot, non-pneumatic, 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 | <1% | 12 | $1K |
| L3995 | Addition to upper extremity orthosis, sock, fracture or equal, each | <1% | 38 | $1K |
| L1821 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf | 0% | 14 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Djo, LLC | Carlsbad, CA | $127.18M |
| Ortho Pros Express, INC | Charlotte, NC | $27.03M |
| Surgi-Care, INC | Oakland, ME | $5.58M |
| Surgi-Care, INC | Middletown, CT | $4.17M |
| Surgicare INC | Bangor, ME | $3.52M |
| Surgi-Care INC | South Burlington, VT | $1.70M |
| Djo, LLC | Apollo Beach, FL | $911K |
| Surgi-Care INC | Peterborough, NH | $398K |
| Surgi-Care, INC | West Springfield, MA | $203K |
| Armac INC | West Orange, NJ | $162K |
| Armac INC | Cedar Knolls, NJ | $67K |
| Surgi-Care INC | Warwick, RI | $26K |
| Surgi-Care INC | Foxboro, MA | $11.74 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.