Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MD › Hagerstown › NPI 1871655381

Reconstructive Foot & Ankle Institute, LLC

Reconstructive Foot & Ankle Institute, LLC was paid $410K by Medicaid between Apr 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoRECONSTRUCTIVE FOOT & ANKLE INSTITUTE, LLC
HAGERSTOWN, MD 21740
33aNPI1871655381assigned 12/14/2006
28Total paid$410K
24GClaims5,590
24DCodes billed12
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers

Next to other Foot & Ankle Surgery Podiatrist providers in Maryland

Rank by total paid#5 of 43
Median peer was paid$9K
This provider vs. median46×

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$10K$20K$30K2018201920202021202220232024
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
201856$3K
2019109$4K
20201,732$104K
20211,063$105K
20221,193$46K
2023860$96K
2024incomplete577$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53% 3,629 2,251 $218K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23% 1,094 781 $94K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 17% 298 188 $68K
Q4050 Cast supplies, for unlisted types and materials of casts 4.3% 255 185 $18K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.5% 70 57 $6K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 12 12 $2K
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% 20 12 $1K
L3215 Orthopedic footwear, ladies shoe, oxford, each <1% 16 12 $1K
L3540 Orthopedic shoe addition, sole, full <1% 19 14 $1K
S0395 Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic <1% 146 114 $504.00
73630 <1% 15 12 $333.76
29540 <1% 16 12 $296.52

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 officialMICHAELS, DANIEL (OWNER)