Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VICTORY ORTHOTICS & PROSTHETICS LLC

NPI: 1457443624 · JOHNSON CITY, TN 37604 · Prosthetic/Orthotic Supplier · NPI assigned 09/28/2006

$70K
Total Medicaid Paid
810
Total Claims
403
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialGARDNER, BRAD (COO)
NPI Enumeration Date09/28/2006

Related Entities

Other providers sharing the same authorized official: GARDNER, BRAD

ProviderCityStateTotal Paid
VICTORY ORTHOTICS & PROSTHETICS LLC KNOXVILLE TN $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 227 $20K
2019 26 $2K
2020 249 $16K
2021 150 $10K
2022 56 $15K
2023 102 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L3060 Foot, arch support, removable, premolded, longitudinal/ metatarsal, each 687 335 $48K
L1907 Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated 28 13 $13K
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 49 28 $5K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 46 27 $3K