Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Bay City Orthocare LLC

Bay City Orthocare LLC was paid $251K by Medicaid between Oct 2020 and Jun 2023, across 4 billing codes. Its largest line is L4361, Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf — 57% of everything it billed.

33Billing provider infoBAY CITY ORTHOCARE LLC
ERIE, PA 16502
33aNPI1942207121assigned 07/05/2005
28Total paid$251K
24GClaims3,341
24DCodes billed4
24AFirst – last monthOct 2020 – Jun 2023
Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in Pennsylvania

Rank by total paid#14 of 37
Median peer was paid$105K
This provider vs. median2.4×

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$5.0K$10K$15K2018201920202021202220232024
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
2020271$19K
20211,415$96K
20221,110$93K
2023545$42K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 57% 850 784 $144K
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 22% 1,395 904 $56K
A5513 For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each 20% 1,084 724 $50K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 12 12 $379.80

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 officialDESARRO, DIANE (ADMINISTRATIVE DIRECTOR)
Same official

Other billing entities under DESARRO, DIANE

Full network →
ProviderLocationPaid
Bay City Orthocare, LLCJamestown, NY$427.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.