Supplier
Champlain Valley Brace and Limb, L.L.C.
Champlain Valley Brace and Limb, L.L.C. was paid $21.02M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is T4523, Adult sized disposable incontinence product, brief/diaper, large, each — 13% of everything it billed.
33Billing provider infoCHAMPLAIN VALLEY BRACE AND LIMB, L.L.C.
PLATTSBURGH, NY 12901
PLATTSBURGH, NY 12901
33aNPI1447474010assigned 04/12/2007
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$21.02M
24GClaims477,193
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in New York
Rank by total paid#4 of 24
Median peer was paid$381K
This provider vs. median55×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RAWLINGS, DARRELL controls 11+ related entities in our dataset. Read more
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 | 30,134 | $1.40M | |
| 2019 | 43,031 | $1.98M | |
| 2020 | 59,066 | $2.65M | |
| 2021 | 56,742 | $2.52M | |
| 2022 | 61,500 | $2.62M | |
| 2023 | 87,958 | $3.90M | |
| 2024incomplete | 138,762 | $5.95M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 13% | 31,797 | 31,269 | $2.70M |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 12% | 35,857 | 35,401 | $2.47M |
| A4554 | Disposable underpads, all sizes | 12% | 72,995 | 71,795 | $2.47M |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 11% | 71,719 | 70,458 | $2.33M |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 8.2% | 19,142 | 18,858 | $1.72M |
| T4533 | Youth sized disposable incontinence product, brief/diaper, each | 7.6% | 24,005 | 23,874 | $1.60M |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 7.6% | 55,473 | 54,785 | $1.60M |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | 5.6% | 15,332 | 15,190 | $1.17M |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 4.7% | 13,870 | 13,768 | $993K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 4.1% | 5,688 | 5,581 | $863K |
| T4540 | Incontinence product, protective underpad, reusable, chair size, each | 2.4% | 30,987 | 30,537 | $509K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 2.4% | 5,506 | 5,465 | $499K |
45 more codes
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 2.0% | 6,065 | $419K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 1.8% | 3,584 | $369K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 1.6% | 5,570 | $331K |
| A4927 | Gloves, non-sterile, per 100 | 1.1% | 55,037 | $237K |
| T4541 | Incontinence product, disposable underpad, large, each | <1% | 10,166 | $155K |
| T4529 | Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each | <1% | 2,608 | $153K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 1,078 | $126K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 1,543 | $101K |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 320 | $24K |
| A6252 | Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 394 | $24K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 1,245 | $23K |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 260 | $20K |
| A6197 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | <1% | 179 | $18K |
| A6253 | Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing | <1% | 179 | $18K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 190 | $11K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 473 | $9K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 157 | $9K |
| A6223 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 182 | $8K |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 613 | $6K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 192 | $5K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 378 | $5K |
| A4353 | Intermittent urinary catheter, with insertion supplies | <1% | 13 | $4K |
| E0603 | Breast pump, electric (ac and/or dc), any type | <1% | 17 | $3K |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 339 | $2K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | <1% | 41 | $2K |
| A4349 | Male external catheter, with or without adhesive, disposable, each | <1% | 118 | $2K |
| A6213 | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing | <1% | 13 | $2K |
| A4217 | Sterile water/saline, 500 ml | <1% | 435 | $2K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 300 | $2K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 214 | $1K |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | <1% | 30 | $1K |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 115 | $1K |
| A4419 | Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each | <1% | 12 | $1K |
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | <1% | 2,246 | $1K |
| A4362 | Skin barrier; solid, 4 x 4 or equivalent; each | <1% | 13 | $917.50 |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | <1% | 12 | $895.05 |
| A6454 | Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard | <1% | 60 | $820.12 |
| A4402 | Lubricant, per ounce | <1% | 206 | $445.96 |
| A6450 | Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard | <1% | 42 | $394.40 |
| A6222 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 12 | $372.65 |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | <1% | 73 | $343.00 |
| A6258 | Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | <1% | 12 | $279.63 |
| A6403 | Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 12 | $264.60 |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 30 | $125.69 |
| A4553 | Non-disposable underpads, all sizes | <1% | 44 | $43.68 |
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 officialRAWLINGS, DARRELL (CEO)
Parent organizationACTIVSTYLE HOLDING COMPANY
| Provider | Location | Paid |
|---|---|---|
| Activstyle, LLC | Saint Paul, MN | $219.63M |
| Advocate Medical Services, LLC | Tampa, FL | $23.23M |
| Advocate Medical Services, LLC | Brevard, NC | $16.13M |
| Activstyle LLC | Chicago, IL | $11.59M |
| Advocate Medical Services, LLC | Ashland, KY | $10.64M |
| Home Wellness, LLC | Cinnaminson, NJ | $9.45M |
| Senior Care Service LLC | Grand Junction, CO | $9.02M |
| M.A.R.Y. Medical, LLC | Fresno, CA | $8.46M |
| Activstyle, LLC | Marshall, TX | $7.75M |
| All American Home Aide LLC | Boston, MA | $951K |
| Advocate Medical Services, LLC | Marshall, TX | $186K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.