SPECIALTY PROSTHETICS & ORTHOTICS OF TEXAS LLC
NPI: 1932149689
· SAN ANTONIO, TX 78224
· 332B00000X
$585.82
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
175 |
$134.08 |
| 2019 |
151 |
$451.74 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Afo plastic molded w/ankle j |
66 |
66 |
$518.78 |
| A5500 |
Diab shoe for density insert |
62 |
62 |
$67.04 |
| L2220 |
Dorsi & plantar flex ass/res |
12 |
12 |
$0.00 |
| L2330 |
Lacer molded to patient mode |
66 |
66 |
$0.00 |
| L2820 |
Soft interface below knee se |
67 |
67 |
$0.00 |
| A5513 |
Multi den insert custom mold |
12 |
12 |
$0.00 |
| L2210 |
Dorsiflexion assist each joi |
41 |
41 |
$0.00 |