Surgi-Care, INC
Surgi-Care, INC was paid $4.17M by Medicaid between Jan 2018 and Dec 2024, across 23 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 — 31% of everything it billed.
MIDDLETOWN, CT 06457
Next to other Durable Medical Equipment & Medical Supplies providers in Connecticut
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,495 | $371K | |
| 2019 | 6,579 | $439K | |
| 2020 | 5,390 | $370K | |
| 2021 | 7,741 | $537K | |
| 2022 | 10,084 | $686K | |
| 2023 | 13,845 | $863K | |
| 2024incomplete | 14,151 | $905K |
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 | 31% | 7,818 | 7,190 | $1.30M |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 14% | 4,686 | 4,350 | $577K |
| L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | 10% | 6,462 | 5,935 | $423K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 9.0% | 12,299 | 11,216 | $374K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 8.6% | 8,808 | 7,389 | $358K |
| 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 | 8.2% | 4,067 | 3,749 | $343K |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | 8.0% | 5,855 | 5,482 | $335K |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | 2.9% | 2,286 | 2,130 | $122K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 1.6% | 1,251 | 1,139 | $65K |
| L1832 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 1.2% | 851 | 608 | $52K |
| L3924 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf | 1.0% | 1,147 | 888 | $43K |
| L3260 | Surgical boot/shoe, each | 1.0% | 3,617 | 3,390 | $43K |
11 more codes
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | 1.0% | 678 | $42K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 2,105 | $41K |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | <1% | 271 | $19K |
| L1821 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf | <1% | 94 | $13K |
| L4396 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 101 | $10K |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 61 | $6K |
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | <1% | 350 | $3K |
| L0642 | 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, off-the-shelf | <1% | 15 | $2K |
| L0150 | Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) | <1% | 16 | $806.00 |
| L4397 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf | <1% | 275 | $445.00 |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | <1% | 172 | $444.70 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Djo, LLC | Carlsbad, CA | $127.18M |
| Ortho Pros Express, INC | Charlotte, NC | $27.03M |
| Surgi-Care INC | Billerica, MA | $18.85M |
| Surgi-Care, INC | Oakland, ME | $5.58M |
| Surgicare INC | Bangor, ME | $3.52M |
| Surgi-Care INC | South Burlington, VT | $1.70M |
| Djo, LLC | Apollo Beach, FL | $911K |
| Surgi-Care INC | Peterborough, NH | $398K |
| Surgi-Care, INC | West Springfield, MA | $203K |
| Armac INC | West Orange, NJ | $162K |
| Armac INC | Cedar Knolls, NJ | $67K |
| Surgi-Care INC | Warwick, RI | $26K |
| Surgi-Care INC | Foxboro, MA | $11.74 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.