VICTORY ORTHOTICS & PROSTHETICS LLC
NPI: 1457443624
· JOHNSON CITY, TN 37604
· Prosthetic/Orthotic Supplier
· NPI assigned 09/28/2006
Provider Details
| Authorized Official | GARDNER, BRAD (COO) |
| NPI Enumeration Date | 09/28/2006 |
Related Entities
Other providers sharing the same authorized official: GARDNER, BRAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
227 |
$20K |
| 2019 |
26 |
$2K |
| 2020 |
249 |
$16K |
| 2021 |
150 |
$10K |
| 2022 |
56 |
$15K |
| 2023 |
102 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |