Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PREVAIL PROSTHETICS AND ORTHOTICS, INC

NPI: 1366583759 · FORT WAYNE, IN 46804 · Prosthetic/Orthotic Supplier · NPI assigned 02/09/2007

$18K
Total Medicaid Paid
353
Total Claims
174
Beneficiaries
2
Codes Billed
2019-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHUDSON, CHRISTI (BUSINESS MANAGER)
NPI Enumeration Date02/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 83 $3K
2020 26 $1K
2021 57 $2K
2022 48 $3K
2023 57 $2K
2024 82 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 331 161 $17K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 22 13 $592.08