Supplier
Pediatric Orthotic and Prosthetic Services-Southeast, LLC
Pediatric Orthotic and Prosthetic Services-Southeast, LLC was paid $885K by Medicaid between Feb 2018 and Nov 2024, across 11 billing codes. Its largest line is L1960, Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated — 57% of everything it billed.
33Billing provider infoPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST, LLC
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
33aNPI1912303330assigned 11/12/2014
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$885K
24GClaims6,934
24DCodes billed11
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Prosthetic/Orthotic Supplier providers in Louisiana
Rank by total paid#3 of 17
Median peer was paid$18K
This provider vs. median49×
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 | 494 | $77K | |
| 2019 | 1,206 | $170K | |
| 2020 | 890 | $132K | |
| 2021 | 1,362 | $191K | |
| 2022 | 1,035 | $140K | |
| 2023 | 1,182 | $118K | |
| 2024incomplete | 765 | $57K |
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 | 57% | 1,971 | 1,087 | $501K |
| L4360 | Walking boot, pneumatic and/or vacuum, 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 | 11% | 686 | 608 | $93K |
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | 8.8% | 732 | 383 | $78K |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | 8.8% | 1,907 | 975 | $78K |
| L1970 | Ankle foot orthosis, plastic with ankle joint, custom fabricated | 7.5% | 222 | 121 | $67K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 3.9% | 1,149 | 1,031 | $34K |
| L1930 | Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment | 1.8% | 108 | 53 | $16K |
| 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 | 1.5% | 98 | 88 | $13K |
| L4397 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf | <1% | 26 | 14 | $3K |
| 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% | 19 | 15 | $2K |
| L2999 | Lower extremity orthoses, not otherwise specified | <1% | 16 | 12 | $62.70 |
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 officialGOMEZ, JOSEPH (DIRECTOR OF O&P)
Parent organizationPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST, LLC