Supplier
Medirest, INC.
Medirest, INC. was paid $1.57M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is L1833, Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf — 26% of everything it billed.
33Billing provider infoMEDIREST, INC.
BIRMINGHAM, AL 35209
BIRMINGHAM, AL 35209
33aNPI1740287085assigned 07/01/2005
33bProvider typeCustomized Equipment (DME)
28Total paid$1.57M
24GClaims13,748
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Customized Equipment (DME) providers in Alabama
Rank by total paid#2 of 19
Median peer was paid$53K
This provider vs. median30×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | 1,802 | $138K | |
| 2019 | 2,117 | $184K | |
| 2020 | 1,958 | $138K | |
| 2021 | 2,054 | $212K | |
| 2022 | 1,390 | $162K | |
| 2023 | 1,917 | $307K | |
| 2024incomplete | 2,510 | $427K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | 26% | 903 | 811 | $414K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 25% | 2,298 | 2,099 | $395K |
| L1846 | Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated | 19% | 332 | 283 | $291K |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 11% | 1,169 | 1,072 | $167K |
| L2425 | Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint | 3.3% | 245 | 204 | $51K |
| L2755 | Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only | 2.9% | 332 | 286 | $46K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 2.9% | 965 | 892 | $45K |
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | 1.7% | 119 | 112 | $27K |
| L2830 | Addition to lower extremity orthosis, soft interface for molded plastic, above knee section | 1.0% | 236 | 198 | $16K |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | <1% | 185 | 172 | $15K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 459 | 438 | $15K |
| L2397 | Addition to lower extremity orthosis, suspension sleeve | <1% | 202 | 177 | $15K |
16 more codes
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | <1% | 243 | $14K |
| L3960 | Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment | <1% | 26 | $13K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 241 | $11K |
| L2795 | Addition to lower extremity orthosis, knee control, full kneecap | <1% | 147 | $7K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | <1% | 234 | $6K |
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | <1% | 612 | $5K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | <1% | 1,465 | $4K |
| L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | <1% | 57 | $3K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 1,515 | $2K |
| K0003 | Lightweight wheelchair | <1% | 405 | $2K |
| K0001 | Standard wheelchair | <1% | 445 | $2K |
| 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% | 314 | $1K |
| 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 | <1% | 12 | $967.54 |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 198 | $442.82 |
| E0165 | Commode chair, mobile or stationary, with detachable arms | <1% | 77 | $428.17 |
| 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% | 312 | $12.88 |
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.
From NPPES
Who's on the registration
Authorized officialFALLON, JAMES (PRESIDENT)