Supplier
That Certain Look, INC.
That Certain Look, INC. was paid $34K by Medicaid between Apr 2018 and Jul 2023, across 3 billing codes. Its largest line is L8020, Breast prosthesis, mastectomy form — 86% of everything it billed.
33Billing provider infoTHAT CERTAIN LOOK, INC.
JUDSONIA, AR 72081
JUDSONIA, AR 72081
33aNPI1326370990assigned 02/08/2010
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$34K
24GClaims596
24DCodes billed3
24AFirst – last monthApr 2018 – Jul 2023
Compared with peers
Next to other Prosthetic/Orthotic Supplier providers in Arkansas
Rank by total paid#17 of 28
Median peer was paid$41K
This provider vs. median0.8×
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 | 164 | $6K | |
| 2019 | 107 | $3K | |
| 2020 | 41 | $3K | |
| 2021 | 112 | $8K | |
| 2022 | 107 | $8K | |
| 2023 | 65 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L8020 | Breast prosthesis, mastectomy form | 86% | 365 | 270 | $29K |
| L8000 | Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type | 9.3% | 173 | 161 | $3K |
| L8015 | External breast prosthesis garment, with mastectomy form, post mastectomy | 4.9% | 58 | 53 | $2K |
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 officialJAMES, ANITA (CAO)
| Provider | Location | Paid |
|---|---|---|
| Solterra at White Mountains, LLC | Lakeside, AZ | $798K |
| City of Kingfisher | Kingfisher, OK | $92K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.