1407940315

1407940315 was paid $483K by Medicaid between Jan 2018 and Dec 2021, across 15 billing codes. Its largest line is L4361, Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf — 45% of everything it billed.

33Billing provider info1407940315

33aNPI1407940315

33bProvider type—

28Total paid$483K

24GClaims8,045

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 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	2,413	$129K
2019	2,621	$148K
2020	1,579	$104K
2021	1,432	$101K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	45%	1,165	1,106	$215K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	12%	1,558	1,374	$57K
E0570	Nebulizer, with compressor	10%	1,059	967	$49K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	9.1%	459	403	$44K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	6.3%	860	834	$30K
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	6.2%	183	172	$30K
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	5.2%	357	345	$25K
L3260	Surgical boot/shoe, each	2.0%	698	594	$10K
A4500	Surgical stockings below knee length, each	1.8%	583	567	$9K
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	<1%	82	81	$4K
A4565	Slings	<1%	780	746	$4K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	<1%	173	163	$4K

3 more codes

E0143	Walker, folding, wheeled, adjustable or fixed height	<1%	47	$2K
L0140	Cervical, semi-rigid, adjustable (plastic collar)	<1%	26	$405.29
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	15	$21.62

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.