SMITH & NEPHEW INC.
NPI: 1558469403
· SAN JUAN, PR 00918
· Prosthetic/Orthotic Supplier
· NPI assigned 09/21/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code L8699 with only 2 total codes billed. Highly concentrated billing profile.
$12.00M
Total Medicaid Paid
Provider Details
| Authorized Official | RAMAZZOTTI, PEDRO (MANAGING DIRECTOR) |
| NPI Enumeration Date | 09/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
951 |
$2.07M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L8699 |
Prosthetic implant, not otherwise specified |
6,024 |
5,244 |
$11.98M |
| L9900 |
Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code |
106 |
70 |
$17K |