Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › West Springfield › NPI 1558376913
Supplier

Prosthetic & Orthotic Solutions, LLC.

Prosthetic & Orthotic Solutions, LLC. was paid $183K by Medicaid between Jan 2018 and Nov 2024, across 8 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 — 54% of everything it billed.

33Billing provider infoPROSTHETIC & ORTHOTIC SOLUTIONS, LLC.
WEST SPRINGFIELD, MA 01089
33aNPI1558376913assigned 07/31/2006
28Total paid$183K
24GClaims6,337
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in Massachusetts

Rank by total paid#7 of 20
Median peer was paid$40K
This provider vs. median4.6×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018414$19K
2019914$30K
2020563$14K
2021641$13K
20221,076$27K
20231,277$36K
2024incomplete1,452$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 54% 3,891 2,013 $98K
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 30% 2,095 1,084 $55K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 5.3% 217 171 $10K
L5673 Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism 4.8% 15 12 $9K
L3010 Foot, insert, removable, molded to patient model, longitudinal arch support, each 3.7% 54 25 $7K
L0630 Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), 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, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 1.5% 26 26 $3K
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 <1% 26 12 $927.86
L8420 Prosthetic sock, multiple ply, below knee, each <1% 13 12 $645.05

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 officialROGERS, CHRISTIAN (OWNER)