1710138821

1710138821 was paid $55K by Medicaid between Jan 2018 and Dec 2019, across 5 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 — 64% of everything it billed.

33Billing provider info1710138821

33aNPI1710138821

33bProvider type—

28Total paid$55K

24GClaims587

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2019

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	445	$43K
2019	142	$11K

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	64%	188	185	$35K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	23%	254	247	$13K
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	11%	79	79	$6K
L0120	Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)	1.3%	52	52	$729.61
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	<1%	14	12	$527.56

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.