1871035154

1871035154 was paid $207K by Medicaid between Feb 2020 and May 2023, across 6 billing codes. Its largest line is L3002, Foot, insert, removable, molded to patient model, plastazote or equal, each — 34% of everything it billed.

33Billing provider info1871035154

33aNPI1871035154

33bProvider type—

28Total paid$207K

24GClaims8,245

24DCodes billed6

24AFirst – last monthFeb 2020 – May 2023

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
2020	56	$29.86
2021	965	$13K
2022	5,222	$137K
2023	2,002	$57K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L3002	Foot, insert, removable, molded to patient model, plastazote or equal, each	34%	1,695	447	$71K
L3030	Foot, insert, removable, formed to patient foot, each	23%	2,340	583	$49K
L3216	Orthopedic footwear, ladies shoe, depth inlay, each	18%	1,726	555	$38K
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	8.8%	838	169	$18K
L3221	Orthopedic footwear, mens shoe, depth inlay, each	7.7%	800	221	$16K
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	7.5%	846	169	$15K

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.