Pediatric Orthotic and Prosthetic Services-Midwest, LLC
Pediatric Orthotic and Prosthetic Services-Midwest, LLC was paid $680K by Medicaid between Jul 2018 and Nov 2024, across 16 billing codes. Its largest line is L1970, Ankle foot orthosis, plastic with ankle joint, custom fabricated — 34% of everything it billed.
LEXINGTON, KY 40508
Next to other Prosthetic/Orthotic Supplier providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 204 | $17K | |
| 2019 | 773 | $92K | |
| 2020 | 536 | $78K | |
| 2021 | 909 | $86K | |
| 2022 | 1,107 | $126K | |
| 2023 | 1,451 | $151K | |
| 2024incomplete | 1,237 | $130K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L1970 | Ankle foot orthosis, plastic with ankle joint, custom fabricated | 34% | 627 | 340 | $233K |
| L1960 | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated | 22% | 500 | 324 | $148K |
| L1930 | Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment | 9.8% | 466 | 228 | $67K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 9.5% | 313 | 289 | $64K |
| L2270 | Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad | 8.6% | 1,769 | 1,048 | $58K |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | 5.2% | 1,476 | 724 | $35K |
| L2200 | Addition to lower extremity, limited ankle motion, each joint | 2.2% | 585 | 318 | $15K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 2.2% | 179 | 105 | $15K |
| L1200 | Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only | 2.1% | 14 | 14 | $14K |
| L1300 | Other scoliosis procedure, body jacket molded to patient model | 1.6% | 12 | 12 | $11K |
| L1210 | Addition to tlso, (low profile), lateral thoracic extension | <1% | 40 | 38 | $6K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | <1% | 94 | 50 | $4K |
4 more codes
| L4396 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 48 | $4K |
| L1240 | Addition to tlso, (low profile), lumbar derotation pad | <1% | 40 | $2K |
| L1060 | Addition to ctlso or scoliosis orthosis, thoracic pad | <1% | 26 | $2K |
| L1290 | Addition to tlso, (low profile), lateral trochanteric pad | <1% | 28 | $1K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Confidential Associates, LLC | Graham, WA | $95K |
| Forest Hills Area Ambulance Association | St. Michael, PA | $78K |
| Eric R. Miller, Od, PC | West Grove, PA | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.