1649778382

1649778382 was paid $205K by Medicaid between Jun 2019 and Dec 2021, across 11 billing codes. Its largest line is L2280, Addition to lower extremity, molded inner boot — 47% of everything it billed.

33Billing provider info1649778382

33aNPI1649778382

33bProvider type—

28Total paid$205K

24GClaims729

24DCodes billed11

24AFirst – last monthJun 2019 – Dec 2021

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
2019	51	$6K
2020	526	$142K
2021	152	$57K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L2280	Addition to lower extremity, molded inner boot	47%	164	141	$96K
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	18%	65	57	$37K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	11%	125	115	$23K
L2340	Addition to lower extremity, pre-tibial shell, molded to patient model	10%	49	46	$21K
L2820	Addition to lower extremity orthosis, soft interface for molded plastic, below knee section	6.7%	144	133	$14K
L3010	Foot, insert, removable, molded to patient model, longitudinal arch support, each	2.3%	23	13	$5K
L2270	Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad	2.3%	73	61	$5K
L2755	Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only	1.2%	17	13	$2K
L3332	Lift, elevation, inside shoe, tapered, up to one-half inch	<1%	30	30	$1K
L3334	Lift, elevation, heel, per inch	<1%	27	27	$1K
L2840	Addition to lower extremity orthosis, tibial length sock, fracture or equal, each	<1%	12	12	$747.00

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.