1679970529

1679970529 was paid $56K by Medicaid between Feb 2021 and Sep 2021, across 11 billing codes. Its largest line is L3030, Foot, insert, removable, formed to patient foot, each — 20% of everything it billed.

33Billing provider info1679970529

33aNPI1679970529

33bProvider type—

28Total paid$56K

24GClaims2,348

24DCodes billed11

24AFirst – last monthFeb 2021 – Sep 2021

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
2021	2,348	$56K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L3030	Foot, insert, removable, formed to patient foot, each	20%	406	209	$11K
L3040	Foot, arch support, removable, premolded, longitudinal, each	15%	407	209	$8K
L3224	Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)	14%	518	267	$8K
L3225	Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)	14%	426	217	$8K
L1971	Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment	9.6%	90	47	$5K
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	9.2%	236	123	$5K
L0627	Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	8.4%	82	82	$5K
L3807	Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	7.7%	112	59	$4K
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	1.3%	24	12	$713.16
A5512	For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each	1.2%	24	12	$666.20
L3060	Foot, arch support, removable, premolded, longitudinal/ metatarsal, each	<1%	23	12	$361.31

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.