Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Capital Prosthetic & Orthotic Center INC of Tennessee

Capital Prosthetic & Orthotic Center INC of Tennessee was paid $17K by Medicaid between Apr 2018 and May 2019, across 1 billing code. Its largest line is L0637, Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, 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 — 100% of everything it billed.

33Billing provider infoCAPITAL PROSTHETIC & ORTHOTIC CENTER INC OF TENNESSEE
SMYRNA, TN 37167
33aNPI1578961264assigned 12/11/2014
28Total paid$17K
24GClaims70
24DCodes billed1
24AFirst – last monthApr 2018 – May 2019
Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in Tennessee

Rank by total paid#18 of 27
Median peer was paid$49K
This provider vs. median0.3×

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.

Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
201856$13K
201914$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L0637 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, 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 100% 70 58 $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 officialGREY, SOFIA (GENERAL MGR/PRESIDENT)