Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Medsource Orthotics & Prosthetics, INC

Medsource Orthotics & Prosthetics, INC was paid $45K by Medicaid between Jan 2018 and Oct 2018, across 13 billing codes. Its largest line is E2311, Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware — 29% of everything it billed.

33Billing provider infoMEDSOURCE ORTHOTICS & PROSTHETICS, INC
PHOENIX, AZ 85013
33aNPI1386786614assigned 02/13/2007
28Total paid$45K
24GClaims459
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in Arizona

Rank by total paid#10 of 15
Median peer was paid$373K
This provider vs. median0.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018459$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E2311 Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware 29% 15 12 $13K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other 24% 116 65 $11K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 10% 30 28 $5K
E2313 Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each 8.1% 45 26 $4K
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each 7.4% 59 45 $3K
E2377 Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue 5.9% 15 12 $3K
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 5.0% 30 27 $2K
K0108 Wheelchair component or accessory, not otherwise specified 3.6% 19 13 $2K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 2.3% 28 22 $1K
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 1.9% 29 17 $868.50
K0040 Adjustable angle footplate, each 1.5% 42 24 $671.60
E1012 Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each 1.0% 17 12 $468.96
1 more codes
K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes <1% 14 $174.83

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 officialCHARLES, DAVID (PRESIDENT)
Same official

Other billing entities under CHARLES, DAVID

Full network →
ProviderLocationPaid
Medsource Mobility LLCSandy, UT$581K
David a Charles MD PCRockville, MD$6K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.