Smith & Nephew INC.

Smith & Nephew INC. was paid $12.00M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is L8699, Prosthetic implant, not otherwise specified — 100% of everything it billed.

33Billing provider infoSMITH & NEPHEW INC.
SAN JUAN, PR 00918

33aNPI1558469403assigned 09/21/2006

33bProvider typeProsthetic/Orthotic Supplier

28Total paid$12.00M

24GClaims6,130

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in Puerto Rico

Rank by total paid#2 of 12

Median peer was paid$2.24M

This provider vs. median5.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code L8699 with only 2 total codes billed. Highly concentrated billing profile.

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	1,165	$1.78M
2019	719	$1.63M
2020	762	$1.41M
2021	797	$1.53M
2022	744	$1.39M
2023	992	$2.19M
2024incomplete	951	$2.07M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L8699	Prosthetic implant, not otherwise specified	100%	6,024	5,244	$11.98M
L9900	Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code	<1%	106	70	$17K

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 officialRAMAZZOTTI, PEDRO (MANAGING DIRECTOR)