Supplier
Pediatric Orthotic and Prosthetic Services- Northeast, LLC
Pediatric Orthotic and Prosthetic Services- Northeast, LLC was paid $41K by Medicaid between Mar 2021 and Oct 2024, across 4 billing codes. Its largest line is L4387, Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf — 42% of everything it billed.
33Billing provider infoPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- NORTHEAST, LLC
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
33aNPI1336537042assigned 01/05/2015
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$41K
24GClaims1,088
24DCodes billed4
24AFirst – last monthMar 2021 – Oct 2024
Compared with peers
Next to other Prosthetic/Orthotic Supplier providers in Pennsylvania
Rank by total paid#21 of 37
Median peer was paid$105K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 286 | $9K | |
| 2022 | 268 | $9K | |
| 2023 | 229 | $10K | |
| 2024incomplete | 305 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | 42% | 255 | 246 | $17K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 38% | 422 | 230 | $16K |
| L2270 | Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad | 13% | 358 | 201 | $6K |
| L0984 | Protective body sock, prefabricated, off-the-shelf, each | 6.4% | 53 | 51 | $3K |
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 officialCLARK, CALLI (DIRECTOR OF ORTHOTICS & PROSTHETICS)
Parent organizationPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- NORTHEAST, LLC