1669590147

1669590147 was paid $634K by Medicaid between Jan 2018 and Aug 2023, across 7 billing codes. Its largest line is L3010, Foot, insert, removable, molded to patient model, longitudinal arch support, each — 61% of everything it billed.

33Billing provider info1669590147

33aNPI1669590147

33bProvider type—

28Total paid$634K

24GClaims7,094

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2023

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	1,146	$151K
2019	1,615	$133K
2020	1,473	$100K
2021	931	$77K
2022	998	$80K
2023	931	$92K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L3010	Foot, insert, removable, molded to patient model, longitudinal arch support, each	61%	2,431	1,576	$388K
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	13%	1,318	818	$85K
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	9.7%	1,562	938	$62K
L3216	Orthopedic footwear, ladies shoe, depth inlay, each	9.5%	1,084	732	$60K
L3221	Orthopedic footwear, mens shoe, depth inlay, each	5.7%	635	417	$36K
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	<1%	19	13	$2K
A6530	Gradient compression stocking, below knee, 18-30 mmhg, each	<1%	45	26	$2K

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.