Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ortho Pros Express, INC

Ortho Pros Express, INC was paid $27.03M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is L4360, Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise — 16% of everything it billed.

33Billing provider infoORTHO PROS EXPRESS, INC
CHARLOTTE, NC 28270
33aNPI1790747244assigned 04/03/2006
28Total paid$27.03M
24GClaims287,181
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Customized Equipment (DME) providers in North Carolina

Rank by total paid#4 of 74
Median peer was paid$310K
This provider vs. median87×

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.

Entity ProliferationAuthorized official MORENO, ANDRES controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201832,510$3.19M
201931,129$3.33M
202026,731$2.90M
202145,411$4.05M
202250,008$4.84M
202354,952$4.57M
2024incomplete46,440$4.15M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 16% 22,965 20,414 $4.32M
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 14% 26,017 20,786 $3.70M
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf 8.9% 5,221 4,270 $2.41M
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 6.0% 47,146 37,778 $1.63M
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 5.8% 2,273 1,749 $1.56M
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 5.0% 2,850 2,442 $1.35M
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 4.5% 9,942 7,621 $1.21M
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 4.4% 16,299 13,467 $1.18M
L3807 Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 4.2% 7,233 6,309 $1.14M
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 4.1% 22,158 18,671 $1.10M
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 3.8% 32,250 27,717 $1.03M
L3984 Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment 3.6% 3,980 3,377 $962K
34 more codes
L3660 Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf 3.2% 15,056 $868K
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 2.2% 5,419 $606K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 2.0% 8,461 $541K
L1810 Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 1.9% 6,215 $514K
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf 1.8% 6,724 $475K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 1.6% 6,699 $429K
L3260 Surgical boot/shoe, each 1.3% 11,903 $350K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf 1.1% 4,200 $298K
L2795 Addition to lower extremity orthosis, knee control, full kneecap <1% 4,062 $202K
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf <1% 2,028 $182K
L1845 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, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 317 $172K
L2397 Addition to lower extremity orthosis, suspension sleeve <1% 2,119 $130K
L2755 Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only <1% 1,573 $111K
L3265 Plastazote sandal, each <1% 1,943 $89K
L3650 Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf <1% 2,026 $72K
L3924 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf <1% 1,459 $59K
E0143 Walker, folding, wheeled, adjustable or fixed height <1% 1,224 $52K
L3923 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 1,061 $52K
L2830 Addition to lower extremity orthosis, soft interface for molded plastic, above knee section <1% 776 $48K
L3995 Addition to upper extremity orthosis, sock, fracture or equal, each <1% 1,875 $44K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section <1% 777 $43K
E0748 Osteogenesis stimulator, electrical, non-invasive, spinal applications <1% 13 $40K
L1852 Knee orthosis (ko), 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, prefabricated, off-the-shelf <1% 84 $23K
L0627 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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 39 $10K
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% 86 $9K
A4565 Slings <1% 2,039 $8K
E0935 Continuous passive motion exercise device for use on knee only <1% 47 $5K
L1821 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf <1% 287 $3K
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% 28 $3K
L3761 Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf <1% 13 $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% 23 $2K
L3675 Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf <1% 15 $1K
A4467 Belt, strap, sleeve, garment, or covering, any type <1% 217 $839.36
A9270 Non-covered item or service <1% 39 $181.68

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 officialMORENO, ANDRES (PRESIDENT)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.