1417327065

1417327065 was paid $13K by Medicaid between May 2021 and Dec 2021, across 9 billing codes. Its largest line is L1971, Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment — 48% of everything it billed.

33Billing provider info1417327065

33aNPI1417327065

33bProvider type—

28Total paid$13K

24GClaims392

24DCodes billed9

24AFirst – last monthMay 2021 – 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
2021	392	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L1971	Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment	48%	77	63	$6K
L3030	Foot, insert, removable, formed to patient foot, each	18%	98	73	$2K
L1906	Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf	11%	86	69	$1K
L3020	Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each	10%	34	28	$1K
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	3.8%	35	26	$494.16
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	2.6%	14	12	$341.20
L3225	Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)	1.8%	17	13	$239.22
L3224	Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)	1.8%	14	12	$236.90
A5512	For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each	1.8%	17	13	$236.11

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.