Pongratz Orthotics and Prosthetics, INC.

Pongratz Orthotics and Prosthetics, INC. was paid $6.49M by Medicaid between Jan 2018 and Nov 2024, across 75 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 — 11% of everything it billed.

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Arizona

Rank by total paid#10 of 131

Median peer was paid$26K

This provider vs. median247×

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	11,151	$1.08M
2019	5,503	$656K
2020	4,524	$615K
2021	7,609	$1.14M
2022	7,498	$1.23M
2023	6,312	$1.13M
2024incomplete	3,098	$636K

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	11%	1,054	948	$694K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	8.4%	3,163	3,053	$544K
A6512	Compression burn garment, not otherwise classified	6.5%	823	658	$421K
L5637	Addition to lower extremity, below knee, total contact	4.5%	1,593	1,452	$290K
L0174	Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf	4.1%	1,705	1,571	$264K
L5301	Below knee, molded socket, shin, sach foot, endoskeletal system	4.1%	169	158	$263K
L5671	Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert	3.8%	830	741	$247K
L4360	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	3.5%	1,342	1,296	$228K
L8420	Prosthetic sock, multiple ply, below knee, each	3.2%	1,925	1,720	$206K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	3.1%	1,486	1,379	$199K
L4397	Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf	2.9%	1,291	1,203	$189K
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf	2.8%	405	379	$179K

63 more codes

L2820	Addition to lower extremity orthosis, soft interface for molded plastic, below knee section	2.7%	2,192	$173K
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	2.6%	259	$169K
L5940	Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)	2.5%	630	$161K
L3020	Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each	2.3%	640	$149K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	2.3%	3,600	$147K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	2.2%	3,260	$141K
L3807	Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	2.1%	1,127	$138K
L5620	Addition to lower extremity, test socket, below knee	1.9%	705	$123K
L5910	Addition, endoskeletal system, below knee, alignable system	1.9%	680	$121K
L1970	Ankle foot orthosis, plastic with ankle joint, custom fabricated	1.8%	210	$120K
L5629	Addition to lower extremity, below knee, acrylic socket	1.5%	604	$95K
L8440	Prosthetic shrinker, below knee, each	1.4%	1,309	$88K
L5700	Replacement, socket, below knee, molded to patient model	1.2%	45	$75K
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	1.1%	1,263	$74K
L1832	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	1.1%	216	$71K
L0464	Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment	<1%	103	$59K
L3260	Surgical boot/shoe, each	<1%	1,682	$57K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	<1%	151	$53K
A6533	Gradient compression stocking, thigh length, 18-30 mmhg, each	<1%	494	$51K
A6530	Gradient compression stocking, below knee, 18-30 mmhg, each	<1%	532	$46K
L8400	Prosthetic sheath, below knee, each	<1%	688	$46K
A5514	For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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	<1%	1,053	$45K
L0984	Protective body sock, prefabricated, off-the-shelf, each	<1%	603	$45K
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	<1%	875	$43K
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%	525	$43K
L0999	Addition to spinal orthosis, not otherwise specified	<1%	1,753	$38K
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	<1%	505	$35K
L4350	Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf	<1%	534	$32K
L1830	Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf	<1%	550	$30K
A6509	Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated	<1%	30	$26K
L3030	Foot, insert, removable, formed to patient foot, each	<1%	487	$21K
L0460	Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	42	$20K
L2270	Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad	<1%	277	$17K
L2840	Addition to lower extremity orthosis, tibial length sock, fracture or equal, each	<1%	350	$17K
L3010	Foot, insert, removable, molded to patient model, longitudinal arch support, each	<1%	82	$17K
L5450	Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee	<1%	73	$14K
L0637	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	29	$14K
L4386	Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	148	$13K
L5968	Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature	<1%	15	$13K
L2220	Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint	<1%	132	$13K
L5986	All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)	<1%	26	$12K
L5650	Additions to lower extremity, total contact, above knee or knee disarticulation socket	<1%	43	$11K
L5685	Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each	<1%	75	$9K
L5972	All lower extremity prostheses, foot, flexible keel	<1%	29	$8K
L8430	Prosthetic sock, multiple ply, above knee, each	<1%	53	$7K
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	<1%	185	$7K
L3400	Metatarsal bar wedge, rocker	<1%	409	$7K
L1951	Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	14	$6K
L2999	Lower extremity orthoses, not otherwise specified	<1%	147	$6K
L1812	Knee orthosis, elastic with joints, prefabricated, off-the-shelf	<1%	89	$6K
L5690	Addition to lower extremity, below knee, waist belt, padded and lined	<1%	69	$5K
L4396	Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	28	$4K
L2200	Addition to lower extremity, limited ankle motion, each joint	<1%	68	$3K
L0456	Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	14	$3K
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	<1%	13	$2K
L5684	Addition to lower extremity, below knee, fork strap	<1%	69	$2K
L2780	Addition to lower extremity orthosis, non-corrosive finish, per bar	<1%	27	$2K
L3206	Orthopedic shoe, hightop with supinator or pronator, child	<1%	19	$1K
A6539	Gradient compression stocking, waist length, 18-30 mmhg, each	<1%	12	$1K
E0143	Walker, folding, wheeled, adjustable or fixed height	<1%	30	$949.95
L1810	Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	12	$805.66
L2830	Addition to lower extremity orthosis, soft interface for molded plastic, above knee section	<1%	12	$772.98
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%	13	$330.95

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 officialPONGRATZ, JOSEPH (PRESIDENT OWNER)