Supplier
Pediatric Orthotic and Prosthetic Services-West, LLC
Pediatric Orthotic and Prosthetic Services-West, LLC was paid $1.29M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is L1960, Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated — 54% of everything it billed.
33Billing provider infoPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST, LLC
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
33aNPI1811213549assigned 04/20/2010
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$1.29M
24GClaims11,292
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Prosthetic/Orthotic Supplier providers in California
Rank by total paid#20 of 112
Median peer was paid$87K
This provider vs. median15×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,359 | $167K | |
| 2019 | 1,874 | $162K | |
| 2020 | 1,505 | $162K | |
| 2021 | 1,589 | $170K | |
| 2022 | 1,301 | $140K | |
| 2023 | 2,208 | $309K | |
| 2024incomplete | 1,456 | $175K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L1960 | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated | 54% | 2,616 | 1,569 | $689K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 18% | 4,241 | 2,468 | $235K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 15% | 3,361 | 1,917 | $195K |
| L1200 | Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only | 5.3% | 64 | 57 | $67K |
| L1210 | Addition to tlso, (low profile), lateral thoracic extension | 2.4% | 252 | 236 | $30K |
| L1930 | Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment | 1.8% | 215 | 112 | $23K |
| 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 | 1.1% | 280 | 271 | $14K |
| L2280 | Addition to lower extremity, molded inner boot | <1% | 47 | 29 | $9K |
| 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% | 26 | 26 | $6K |
| L1970 | Ankle foot orthosis, plastic with ankle joint, custom fabricated | <1% | 17 | 12 | $6K |
| L1907 | Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated | <1% | 23 | 13 | $5K |
| L2768 | Orthotic side bar disconnect device, per bar | <1% | 53 | 28 | $4K |
6 more codes
| L1240 | Addition to tlso, (low profile), lumbar derotation pad | <1% | 27 | $632.79 |
| L3150 | Foot, abduction rotation bar, without shoes | <1% | 13 | $614.04 |
| L1290 | Addition to tlso, (low profile), lateral trochanteric pad | <1% | 15 | $533.49 |
| L1260 | Addition to tlso, (low profile), anterior thoracic derotation pad | <1% | 14 | $332.95 |
| L4205 | Repair of orthotic device, labor component, per 15 minutes | <1% | 13 | $238.82 |
| L2999 | Lower extremity orthoses, not otherwise specified | <1% | 15 | $169.36 |
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 officialWADEKAMPER, MICHAEL (MANAGER)