1346609393

1346609393 was paid $89K by Medicaid between Mar 2018 and Sep 2021, across 7 billing codes. Its largest line is L3002, Foot, insert, removable, molded to patient model, plastazote or equal, each — 34% of everything it billed.

33Billing provider info1346609393

33aNPI1346609393

33bProvider type—

28Total paid$89K

24GClaims2,026

24DCodes billed7

24AFirst – last monthMar 2018 – Sep 2021

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	565	$38K
2019	316	$17K
2020	740	$24K
2021	405	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L3002	Foot, insert, removable, molded to patient model, plastazote or equal, each	34%	344	328	$30K
L1906	Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf	32%	736	563	$28K
L3030	Foot, insert, removable, formed to patient foot, each	23%	552	339	$21K
L3050	Foot, arch support, removable, premolded, metatarsal, each	5.9%	330	201	$5K
L4396	Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	2.5%	34	29	$2K
L3224	Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)	1.6%	18	18	$1K
L3216	Orthopedic footwear, ladies shoe, depth inlay, each	1.2%	12	12	$1K

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.