1740236819

1740236819 was paid $123K by Medicaid between Jan 2018 and Apr 2020, across 10 billing codes. Its largest line is A6549, Gradient compression garment, not otherwise specified, for daytime use, each — 46% of everything it billed.

33Billing provider info1740236819

33aNPI1740236819

33bProvider type—

28Total paid$123K

24GClaims1,859

24DCodes billed10

24AFirst – last monthJan 2018 – Apr 2020

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	734	$89K
2019	843	$33K
2020	282	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A6549	Gradient compression garment, not otherwise specified, for daytime use, each	46%	364	201	$57K
L3000	Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each	28%	885	450	$34K
S1040	Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)	15%	149	147	$18K
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	3.2%	109	56	$4K
A6530	Gradient compression stocking, below knee, 18-30 mmhg, each	3.0%	49	25	$4K
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	1.7%	72	40	$2K
L0630	Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, 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	1.5%	12	12	$2K
L2820	Addition to lower extremity orthosis, soft interface for molded plastic, below knee section	<1%	126	99	$940.66
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	<1%	69	54	$907.50
L3020	Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each	0%	24	12	$0.00

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.