Action DME LLC

Action DME LLC was paid $194K by Medicaid between Jan 2018 and Feb 2020, across 13 billing codes. Its largest line is 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 — 55% of everything it billed.

Compared with peers

Next to other Customized Equipment (DME) providers in Tennessee

Rank by total paid#16 of 32

Median peer was paid$171K

This provider vs. median1.1×

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	1,765	$156K
2019	709	$32K
2020	130	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	55%	397	361	$107K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	16%	155	131	$32K
E0673	Segmental gradient pressure pneumatic appliance, half leg	11%	974	484	$21K
E0675	Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)	5.0%	499	487	$10K
L2397	Addition to lower extremity orthosis, suspension sleeve	4.5%	272	210	$9K
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	3.3%	84	60	$6K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	2.8%	43	38	$5K
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	<1%	58	48	$2K
L1971	Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment	<1%	31	14	$495.86
L3960	Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment	<1%	18	18	$452.76
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	<1%	27	13	$422.49
E0730	Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation	<1%	15	12	$277.21

1 more codes

L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

<1%

31

$33.80

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 officialRONEY, CHRISTOPHER (SALES MANAGER)