Ashland Prosthetic & Orthotic

Ashland Prosthetic & Orthotic was paid $533K by Medicaid between Feb 2018 and Aug 2024, across 14 billing codes. Its largest line is L5673, Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism — 47% of everything it billed.

Compared with peers

Next to other Customized Equipment (DME) providers in Kentucky

Rank by total paid#16 of 29

Median peer was paid$563K

This provider vs. median0.9×

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	248	$125K
2019	339	$157K
2020	285	$52K
2021	127	$45K
2022	163	$55K
2023	263	$83K
2024incomplete	34	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L5673	Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism	47%	428	377	$253K
L5671	Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert	30%	441	395	$162K
L5940	Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)	4.7%	57	50	$25K
L5910	Addition, endoskeletal system, below knee, alignable system	4.2%	59	52	$22K
L5645	Addition to lower extremity, below knee, flexible inner socket, external frame	3.7%	44	40	$20K
L5637	Addition to lower extremity, below knee, total contact	1.8%	44	40	$10K
L5629	Addition to lower extremity, below knee, acrylic socket	1.4%	27	24	$7K
L8470	Prosthetic sock, single ply, fitting, below knee, each	1.3%	100	89	$7K
L8420	Prosthetic sock, multiple ply, below knee, each	1.2%	100	89	$7K
L5620	Addition to lower extremity, test socket, below knee	1.2%	12	12	$7K
L5704	Custom shaped protective cover, below knee	1.2%	12	12	$6K
L8400	Prosthetic sheath, below knee, each	<1%	86	76	$4K

2 more codes

L5685	Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each	<1%	34	$3K
L8440	Prosthetic shrinker, below knee, each	<1%	15	$814.94

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 officialSTEPP, ERVIN (CEO LICENSED PROSTHETIST/ORTHOTIST)