Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PAULS SHOE REPAIR AND SALES INC.

NPI: 1750573648 · GLENDALE, CA 91205 · Prosthetic/Orthotic Supplier · NPI assigned 08/14/2007

$128K
Total Medicaid Paid
15,407
Total Claims
8,294
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMISHIDZHYAN, MARTIROS (PRESIDENT)
NPI Enumeration Date08/14/2007

Related Entities

Other providers sharing the same authorized official: MISHIDZHYAN, MARTIROS

ProviderCityStateTotal Paid
M & M HOME HEALTH, INC. LOS ANGELES CA $100K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,129 $11K
2019 1,791 $15K
2020 2,056 $29K
2021 1,889 $32K
2022 1,825 $25K
2023 1,721 $9K
2024 4,996 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 7,722 4,153 $95K
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 7,685 4,141 $34K