Supplier
Surgi-Care, INC
Surgi-Care, INC was paid $5.58M by Medicaid between Aug 2018 and Nov 2024, across 23 billing codes. Its largest line is L4361, Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf — 37% of everything it billed.
33Billing provider infoSURGI-CARE, INC
OAKLAND, ME 04963
OAKLAND, ME 04963
33aNPI1669532248assigned 12/12/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$5.58M
24GClaims64,451
24DCodes billed23
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Maine
Rank by total paid#2 of 141
Median peer was paid$660.47
This provider vs. median8,451×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MORENO, ANDRES controls 13+ related entities in our dataset. Read more
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 | 1,611 | $97K | |
| 2019 | 3,226 | $222K | |
| 2020 | 6,403 | $424K | |
| 2021 | 10,706 | $821K | |
| 2022 | 13,378 | $1.08M | |
| 2023 | 17,634 | $1.73M | |
| 2024incomplete | 11,493 | $1.21M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 37% | 8,835 | 8,192 | $2.04M |
| L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | 11% | 8,317 | 7,629 | $617K |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 9.0% | 4,307 | 3,933 | $504K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 7.9% | 11,169 | 10,613 | $439K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 6.7% | 7,809 | 6,754 | $375K |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | 6.0% | 716 | 648 | $336K |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | 5.5% | 4,327 | 4,085 | $307K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 3.5% | 2,218 | 2,038 | $194K |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | 2.8% | 2,970 | 2,752 | $155K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 2.4% | 3,436 | 2,969 | $136K |
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | 1.8% | 355 | 336 | $102K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 1.6% | 1,495 | 1,394 | $89K |
11 more codes
| L3260 | Surgical boot/shoe, each | 1.3% | 4,417 | $70K |
| L3924 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf | 1.2% | 955 | $64K |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 413 | $52K |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | <1% | 637 | $45K |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | <1% | 705 | $44K |
| A4565 | Slings | <1% | 1,018 | $7K |
| L4397 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf | <1% | 12 | $2K |
| L3995 | Addition to upper extremity orthosis, sock, fracture or equal, each | <1% | 69 | $2K |
| E0135 | Walker, folding (pickup), adjustable or fixed height | <1% | 17 | $390.50 |
| L1821 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf | <1% | 39 | $105.51 |
| A4566 | Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment | <1% | 215 | $61.60 |
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 officialMORENO, ANDRES (PRESIDENT)
Parent organizationSURGI-CARE INC
| Provider | Location | Paid |
|---|---|---|
| Djo, LLC | Carlsbad, CA | $127.18M |
| Ortho Pros Express, INC | Charlotte, NC | $27.03M |
| Surgi-Care INC | Billerica, MA | $18.85M |
| Surgi-Care, INC | Middletown, CT | $4.17M |
| Surgicare INC | Bangor, ME | $3.52M |
| Surgi-Care INC | South Burlington, VT | $1.70M |
| Djo, LLC | Apollo Beach, FL | $911K |
| Surgi-Care INC | Peterborough, NH | $398K |
| Surgi-Care, INC | West Springfield, MA | $203K |
| Armac INC | West Orange, NJ | $162K |
| Armac INC | Cedar Knolls, NJ | $67K |
| Surgi-Care INC | Warwick, RI | $26K |
| Surgi-Care INC | Foxboro, MA | $11.74 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.