Supplier
Pacific Footwear Company, INC.
Pacific Footwear Company, INC. was paid $4.26M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is A5500, For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe — 37% of everything it billed.
33Billing provider infoPACIFIC FOOTWEAR COMPANY, INC.
PORTLAND, OR 97223
PORTLAND, OR 97223
33aNPI1558316851assigned 05/24/2006
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$4.26M
24GClaims93,222
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Prosthetic/Orthotic Supplier providers in Oregon
Rank by total paid#3 of 10
Median peer was paid$1.19M
This provider vs. median3.6×
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 | 13,482 | $746K | |
| 2019 | 15,338 | $716K | |
| 2020 | 13,627 | $552K | |
| 2021 | 12,622 | $508K | |
| 2022 | 12,516 | $538K | |
| 2023 | 12,512 | $596K | |
| 2024incomplete | 13,125 | $607K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 37% | 40,786 | 29,060 | $1.58M |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 34% | 24,728 | 19,767 | $1.46M |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 17% | 10,404 | 6,543 | $722K |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 5.5% | 14,102 | 6,641 | $234K |
| L5000 | Partial foot, shoe insert with longitudinal arch, toe filler | 4.3% | 851 | 703 | $182K |
| K0903 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 1.1% | 1,318 | 1,243 | $47K |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | <1% | 1,033 | 844 | $38K |
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 officialCLARKE, KEVIN (PRESIDENT)