Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Rapha Medical LLC

Rapha Medical LLC was paid $32K by Medicaid between Jan 2018 and Oct 2022, across 5 billing codes. Its largest line is L1843, Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise — 39% of everything it billed.

33Billing provider infoRAPHA MEDICAL LLC
TULSA, OK 74105
33aNPI1780866079assigned 11/29/2007
28Total paid$32K
24GClaims746
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

Next to other Customized Equipment (DME) providers in Oklahoma

Rank by total paid#18 of 21
Median peer was paid$377K
This provider vs. median0.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201825$2K
2021172$5K
2022549$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L1843 Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 39% 109 56 $12K
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 28% 291 169 $9K
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 27% 321 186 $8K
T4541 Incontinence product, disposable underpad, large, each 3.3% 12 12 $1K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 3.1% 13 13 $972.32

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 officialDICKMAN, DANIEL (PRESIDENT/OWNER)