Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1659724375

1659724375 was paid $5K by Medicaid between Oct 2018 and Nov 2020, across 3 billing codes. Its largest line is L0650, Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf — 95% of everything it billed.

33Billing provider info1659724375
33aNPI1659724375
33bProvider type—
28Total paid$5K
24GClaims93
24DCodes billed3
24AFirst – last monthOct 2018 – Nov 2020
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
201828$3K
202065$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L0650 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 95% 61 59 $5K
L3960 Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment 5.1% 12 12 $270.96
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf 0% 20 13 $0.00

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.