Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SANTA ROSA › SIERRA ORTHOPEDIC LABORATORY, INC.

SIERRA ORTHOPEDIC LABORATORY, INC.

NPI: 1659366003 · SANTA ROSA, CA 95403 · Prosthetic/Orthotic Supplier · NPI assigned 09/13/2005

$34K
Total Medicaid Paid
496
Total Claims
264
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialJEFFRIES, DAVID (OWNER)
NPI Enumeration Date09/13/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 325 $22K
2019 171 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 284 151 $19K
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 212 113 $15K