Prosthetics By Nelson, INC.

Prosthetics By Nelson, INC. was paid $761K by Medicaid between May 2018 and Nov 2024, across 8 billing codes. Its largest line is L1907, Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated — 58% of everything it billed.

33Billing provider infoPROSTHETICS BY NELSON, INC.
CHEEKTOWAGA, NY 14225

33aNPI1629177381assigned 09/21/2006

33bProvider typeProsthetic/Orthotic Supplier

28Total paid$761K

24GClaims2,427

24DCodes billed8

24AFirst – last monthMay 2018 – Nov 2024

Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in New York

Rank by total paid#14 of 55

Median peer was paid$22K

This provider vs. median35×

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

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	104	$31K
2019	52	$15K
2020	126	$41K
2021	375	$109K
2022	664	$194K
2023	649	$217K
2024incomplete	457	$154K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L1907	Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated	58%	1,264	634	$439K
L1970	Ankle foot orthosis, plastic with ankle joint, custom fabricated	26%	384	231	$200K
L2280	Addition to lower extremity, molded inner boot	10%	410	200	$79K
L2210	Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint	2.6%	292	173	$20K
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	1.6%	24	12	$12K
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	1.3%	15	13	$10K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	<1%	26	14	$3K
L8420	Prosthetic sock, multiple ply, below knee, each	<1%	12	12	$565.05

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 officialWOJCIK, DANIEL (PRESIDENT/CEO)