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

Orthotics LTD

Orthotics LTD was paid $409K by Medicaid between Mar 2019 and Oct 2024, across 26 billing codes. Its largest line is L5673, Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism — 31% of everything it billed.

33Billing provider infoORTHOTICS LTD
HARRIMAN, NY 10926
33aNPI1790787018assigned 06/01/2005
28Total paid$409K
24GClaims3,959
24DCodes billed26
24AFirst – last monthMar 2019 – Oct 2024
Compared with peers

Next to other Customized Equipment (DME) providers in New York

Rank by total paid#21 of 49
Median peer was paid$325K
This provider vs. median1.3×

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$20K$40K2018201920202021202220232024
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
201978$4K
202088$16K
2021516$72K
20221,289$119K
20231,165$116K
2024incomplete823$83K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L5673 Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism 31% 504 449 $126K
L5671 Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert 14% 447 405 $56K
L5645 Addition to lower extremity, below knee, flexible inner socket, external frame 7.2% 208 185 $30K
L5620 Addition to lower extremity, test socket, below knee 6.6% 303 269 $27K
L5637 Addition to lower extremity, below knee, total contact 6.4% 269 243 $26K
L5940 Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) 6.3% 188 167 $26K
L5910 Addition, endoskeletal system, below knee, alignable system 6.2% 269 241 $25K
L5629 Addition to lower extremity, below knee, acrylic socket 5.2% 237 210 $21K
L5649 Addition to lower extremity, ischial containment/narrow m-l socket 2.4% 13 12 $10K
L8420 Prosthetic sock, multiple ply, below knee, each 1.8% 288 259 $8K
L5301 Below knee, molded socket, shin, sach foot, endoskeletal system 1.7% 14 12 $7K
L5986 All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) 1.7% 46 41 $7K
14 more codes
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 1.6% 252 $7K
L5651 Addition to lower extremity, above knee, flexible inner socket, external frame 1.5% 13 $6K
L1831 Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment 1.1% 180 $4K
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined <1% 106 $4K
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 <1% 114 $3K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section <1% 90 $3K
L5650 Additions to lower extremity, total contact, above knee or knee disarticulation socket <1% 13 $3K
L5972 All lower extremity prostheses, foot, flexible keel <1% 25 $3K
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% 18 $2K
L5704 Custom shaped protective cover, below knee <1% 15 $2K
L8470 Prosthetic sock, single ply, fitting, below knee, each <1% 247 $1K
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% 40 $931.53
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 <1% 43 $739.29
L3760 Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 17 $403.70

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.

From NPPES

Who's on the registration

Authorized officialTREITEL, NOSSON (PRESIDENT)