Supplier
Jag Orthotics & Prosthetics INC
Jag Orthotics & Prosthetics INC was paid $1.07M by Medicaid between Feb 2019 and Dec 2024, across 17 billing codes. Its largest line is L3000, Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each — 73% of everything it billed.
33Billing provider infoJAG ORTHOTICS & PROSTHETICS INC
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1811238611assigned 03/05/2013
33bProvider typeCustomized Equipment (DME)
28Total paid$1.07M
24GClaims5,979
24DCodes billed17
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Customized Equipment (DME) providers in New York
Rank by total paid#14 of 49
Median peer was paid$325K
This provider vs. median3.3×
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
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 | |
|---|---|---|---|
| 2019 | 319 | $67K | |
| 2020 | 546 | $101K | |
| 2021 | 1,330 | $224K | |
| 2022 | 1,112 | $215K | |
| 2023 | 1,341 | $236K | |
| 2024incomplete | 1,331 | $221K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 73% | 2,344 | 2,323 | $781K |
| L3310 | Lift, elevation, heel and sole, neoprene, per inch | 7.5% | 872 | 869 | $80K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 4.5% | 624 | 615 | $48K |
| 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 | 3.4% | 673 | 537 | $36K |
| A6210 | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | 3.4% | 65 | 62 | $36K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 2.4% | 211 | 209 | $26K |
| 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 | 2.1% | 198 | 196 | $22K |
| L3215 | Orthopedic footwear, ladies shoe, oxford, each | 1.3% | 152 | 151 | $14K |
| 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% | 367 | 283 | $8K |
| L3219 | Orthopedic footwear, mens shoe, oxford, each | <1% | 52 | 52 | $6K |
| L3206 | Orthopedic shoe, hightop with supinator or pronator, child | <1% | 55 | 55 | $3K |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | <1% | 13 | 13 | $2K |
5 more codes
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 74 | $1K |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | <1% | 29 | $1K |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 104 | $1K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 125 | $639.31 |
| A4217 | Sterile water/saline, 500 ml | <1% | 21 | $296.00 |
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 officialKANDKHOROV, GRIGORIY (PRESIDENT)