PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-NORTHEAST,LLC
NPI: 1902208945
· SPRINGFIELD, MA 01104
· 335E00000X
$153K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
20 |
$2K |
| 2020 |
38 |
$3K |
| 2021 |
315 |
$83K |
| 2022 |
179 |
$46K |
| 2023 |
71 |
$16K |
| 2024 |
31 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Afo plastic molded w/ankle j |
177 |
127 |
$121K |
| L2275 |
Plastic mod low ext pad/line |
197 |
138 |
$18K |
| L4387 |
Non-pneum walk boot pre ots |
57 |
56 |
$6K |
| L2200 |
Limited ankle motion ea jnt |
162 |
115 |
$6K |
| L3040 |
Ft arch suprt premold longit |
61 |
38 |
$2K |