Surgi-Care INC
Surgi-Care INC was paid $1.70M by Medicaid between Jan 2018 and Dec 2024, across 19 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 — 46% of everything it billed.
SOUTH BURLINGTON, VT 05403
Next to other Durable Medical Equipment & Medical Supplies providers in Vermont
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 | 1,268 | $110K | |
| 2019 | 1,784 | $156K | |
| 2020 | 1,402 | $139K | |
| 2021 | 2,661 | $228K | |
| 2022 | 3,186 | $277K | |
| 2023 | 3,759 | $302K | |
| 2024incomplete | 5,081 | $487K |
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 | 46% | 3,339 | 2,922 | $782K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 12% | 4,152 | 3,495 | $201K |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 8.3% | 1,383 | 1,179 | $140K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 7.5% | 4,369 | 4,038 | $128K |
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | 5.7% | 446 | 427 | $96K |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | 4.7% | 227 | 212 | $80K |
| 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 | 3.7% | 622 | 563 | $63K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 3.1% | 1,061 | 958 | $53K |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | 2.4% | 710 | 656 | $41K |
| L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | 2.1% | 684 | 645 | $36K |
| L2112 | Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment | 1.4% | 119 | 117 | $23K |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | <1% | 355 | 333 | $16K |
7 more codes
| L3260 | Surgical boot/shoe, each | <1% | 1,057 | $14K |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | <1% | 226 | $7K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 158 | $7K |
| L3924 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf | <1% | 79 | $5K |
| L1821 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf | <1% | 35 | $5K |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 17 | $2K |
| A4565 | Slings | <1% | 102 | $4.59 |
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 |
| Surgi-Care, INC | Middletown, CT | $4.17M |
| Surgicare INC | Bangor, ME | $3.52M |
| 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.