Supplier
Simplistic Medical, LLC
Simplistic Medical, LLC was paid $5.24M by Medicaid between Jan 2018 and Dec 2024, across 24 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 — 23% of everything it billed.
33Billing provider infoSIMPLISTIC MEDICAL, LLC
ALBUQUERQUE, NM 87107
ALBUQUERQUE, NM 87107
33aNPI1447553144assigned 12/19/2010
33bProvider typeCustomized Equipment (DME)
28Total paid$5.24M
24GClaims62,327
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Customized Equipment (DME) providers in New Mexico
Rank by total paid#3 of 16
Median peer was paid$555K
This provider vs. median9.4×
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 | 7,320 | $734K | |
| 2019 | 9,666 | $884K | |
| 2020 | 13,602 | $619K | |
| 2021 | 8,753 | $735K | |
| 2022 | 8,195 | $709K | |
| 2023 | 8,353 | $840K | |
| 2024incomplete | 6,438 | $722K |
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 | 23% | 6,871 | 6,018 | $1.21M |
| L0648 | Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 11% | 828 | 723 | $581K |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 11% | 3,948 | 3,419 | $571K |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | 10% | 7,307 | 6,595 | $549K |
| 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 | 10% | 5,886 | 4,966 | $532K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 7.2% | 9,962 | 7,811 | $377K |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | 5.9% | 894 | 780 | $307K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 5.8% | 9,470 | 8,593 | $305K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 4.1% | 3,103 | 2,676 | $217K |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | 3.7% | 2,914 | 2,656 | $195K |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | 1.8% | 1,739 | 1,601 | $94K |
| L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | 1.5% | 1,229 | 1,168 | $80K |
12 more codes
| L0628 | Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 1.5% | 1,429 | $79K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 1,758 | $51K |
| L3260 | Surgical boot/shoe, each | <1% | 4,282 | $43K |
| L3924 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf | <1% | 248 | $12K |
| L0621 | Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf | <1% | 159 | $11K |
| L1852 | Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf | <1% | 16 | $10K |
| L3762 | Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf | <1% | 161 | $6K |
| 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 | <1% | 31 | $5K |
| L0642 | Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | <1% | 14 | $4K |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 12 | $2K |
| A4467 | Belt, strap, sleeve, garment, or covering, any type | <1% | 54 | $813.39 |
| L3650 | Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf | <1% | 12 | $525.75 |
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 officialMILLS, JEFFREY (PRESIDENT)