GREAT LAKES ORTHOTICS & MEDICAL SUPPLY, INC.
NPI: 1770947897
· WEST MILWAUKEE, WI 53214
· 332B00000X
$652K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
617 |
$30K |
| 2019 |
866 |
$42K |
| 2020 |
1,579 |
$80K |
| 2021 |
1,722 |
$91K |
| 2022 |
1,903 |
$114K |
| 2023 |
2,631 |
$131K |
| 2024 |
5,152 |
$163K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A5513 |
Multi den insert custom mold |
6,544 |
3,780 |
$328K |
| A5500 |
Diab shoe for density insert |
6,876 |
3,840 |
$201K |
| L3010 |
Foot longitudinal arch suppo |
899 |
556 |
$102K |
| L5000 |
Sho insert w arch toe filler |
110 |
80 |
$18K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
13 |
12 |
$2K |
| L2820 |
Soft interface below knee se |
14 |
12 |
$1K |
| L2275 |
Plastic mod low ext pad/line |
14 |
12 |
$1K |