Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HANGER PROSTHETICS & ORTHOTICS INC

NPI: 1669546701 · WATERVILLE, ME 04901 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SIMMONS, JENNIFER controls 20+ related entities in our dataset. Read more

$746K
Total Medicaid Paid
7,183
Total Claims
4,809
Beneficiaries
12
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSIMMONS, JENNIFER (REGULATORY COMPLIANCE ANALYST III)
Parent OrganizationHANGER INC
NPI Enumeration Date11/20/2006

Related Entities

Other providers sharing the same authorized official: SIMMONS, JENNIFER

ProviderCityStateTotal Paid
HANGER PROSTHETICS & ORTHOTICS WEST, INC. PHOENIX AZ $8.21M
BIOTECH LIMB & BRACE LLC BIRMINGHAM AL $4.65M
ORTHOTIC SOLUTIONS INC AKRON OH $2.73M
HANGER PROSTHETICS & ORTHOTICS, INC. BELLAIRE TX $2.58M
HANGER PROSTHETICS & ORTHOTICS WEST INC TUCSON AZ $2.19M
HANGER PROSTHETICS & ORTHOTICS INC NASHVILLE TN $1.16M
HANGER PROSTHETICS & ORTHOTICS WEST INC YUMA AZ $942K
HANGER PROSTHETICS & ORTHOTICS WEST INC TUCSON AZ $599K
BIO MEDIC APPLIANCES INC ESSEX JUNCTION VT $569K
HANGER PROSTHETICS & ORTHOTICS WEST INC MESA AZ $551K
HANGER PROSTHETICS & ORTHOTICS WEST, INC. TUCSON AZ $548K
HANGER PROSTHETICS & ORTHOTICS WEST INC GLENDALE AZ $454K
INLAND NORTHWEST ORTHOTICS AND PROSTHETICS, INC SPOKANE WA $419K
HANGER PROSTHETICS & ORTHOTICS WEST INC MESA AZ $350K
EXCEL PROSTHETICS & ORTHOTICS INC JOHNSON CITY TN $300K
SCHECK & SIRESS PROSTHETICS, INC HICKORY HILLS IL $258K
EXCEL PROSTHETICS & ORTHOTICS INC ROANOKE VA $257K
HANGER PROSTHETICS & ORTHOTICS WEST INC TUCSON AZ $216K
HANGER PROSTHETICS & ORTHOTICS WEST INC FLAGSTAFF AZ $208K
AMERICAN PROSTHETICS & ORTHOTICS, INC. WEST BURLINGTON IA $173K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 613 $56K
2019 1,151 $72K
2020 795 $65K
2021 1,158 $115K
2022 1,672 $174K
2023 1,302 $178K
2024 492 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L3216 Orthopedic footwear, ladies shoe, depth inlay, each 1,280 920 $181K
L3010 Foot, insert, removable, molded to patient model, longitudinal arch support, each 1,034 682 $175K
L3020 Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each 398 311 $107K
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 2,005 1,231 $73K
A5513 For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each 1,297 830 $67K
L3221 Orthopedic footwear, mens shoe, depth inlay, each 469 348 $67K
A5514 For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each 572 374 $53K
L1970 Ankle foot orthosis, plastic with ankle joint, custom fabricated 15 13 $6K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 58 49 $6K
L5679 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, not for use with locking mechanism 13 12 $5K
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 29 27 $3K
L5629 Addition to lower extremity, below knee, acrylic socket 13 12 $2K