Medicaid Provider Spending

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

CAPSTONE ORTHOPEDIC, INC.

NPI: 1386930873 · ANTIOCH, CA 94509 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/22/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SIMMONS, JENNIFER controls 20+ related entities in our dataset. Read more

$67K
Total Medicaid Paid
761
Total Claims
401
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSIMMONS, JENNIFER (REGULATORY COMPLIANCE ANALYST III)
Parent OrganizationHANGER INC
NPI Enumeration Date06/22/2011

Related Entities

Other providers sharing the same authorized official: SIMMONS, JENNIFER

ProviderCityStateTotal Paid
HANGER PROSTHETICS & ORTHOTICS WEST, INC. PHOENIX AZ $8.21M
BIOTECH LIMB & BRACE LLC BIRMINGHAM AL $4.65M
ORTHOTIC SOLUTIONS INC AKRON OH $2.73M
HANGER PROSTHETICS & ORTHOTICS, INC. BELLAIRE TX $2.58M
HANGER PROSTHETICS & ORTHOTICS WEST INC TUCSON AZ $2.19M
HANGER PROSTHETICS & ORTHOTICS INC NASHVILLE TN $1.16M
HANGER PROSTHETICS & ORTHOTICS WEST INC YUMA AZ $942K
HANGER PROSTHETICS & ORTHOTICS INC WATERVILLE ME $746K
HANGER PROSTHETICS & ORTHOTICS WEST INC TUCSON AZ $599K
BIO MEDIC APPLIANCES INC ESSEX JUNCTION VT $569K
HANGER PROSTHETICS & ORTHOTICS WEST INC MESA AZ $551K
HANGER PROSTHETICS & ORTHOTICS WEST, INC. TUCSON AZ $548K
HANGER PROSTHETICS & ORTHOTICS WEST INC GLENDALE AZ $454K
INLAND NORTHWEST ORTHOTICS AND PROSTHETICS, INC SPOKANE WA $419K
HANGER PROSTHETICS & ORTHOTICS WEST INC MESA AZ $350K
EXCEL PROSTHETICS & ORTHOTICS INC JOHNSON CITY TN $300K
SCHECK & SIRESS PROSTHETICS, INC HICKORY HILLS IL $258K
EXCEL PROSTHETICS & ORTHOTICS INC ROANOKE VA $257K
HANGER PROSTHETICS & ORTHOTICS WEST INC TUCSON AZ $216K
HANGER PROSTHETICS & ORTHOTICS WEST INC FLAGSTAFF AZ $208K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 114 $7K
2019 88 $10K
2020 22 $1K
2021 54 $3K
2022 93 $6K
2023 72 $5K
2024 318 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L2280 Addition to lower extremity, molded inner boot 78 40 $19K
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 281 148 $19K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 273 147 $18K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 26 13 $6K
A5513 For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each 49 26 $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 54 27 $3K