Tri County Foot & Ankle Center LLC

Tri County Foot & Ankle Center LLC was paid $5.84M by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is L3000, Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each — 49% of everything it billed.

33Billing provider infoTRI COUNTY FOOT & ANKLE CENTER LLC
BAYONNE, NJ 07002

33aNPI1962683235assigned 11/15/2007

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$5.84M

24GClaims94,355

24DCodes billed26

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in New Jersey

Rank by total paid#13 of 302

Median peer was paid$689.07

This provider vs. median8,468×

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	3,886	$202K
2019	2,037	$77K
2020	5,401	$309K
2021	25,368	$1.50M
2022	27,364	$1.67M
2023	17,188	$989K
2024incomplete	13,111	$1.09M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L3000	Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each	49%	11,377	8,144	$2.87M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	37,862	32,167	$1.51M
L3216	Orthopedic footwear, ladies shoe, depth inlay, each	6.3%	2,943	2,178	$368K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.7%	4,974	4,793	$276K
L3221	Orthopedic footwear, mens shoe, depth inlay, each	4.3%	1,896	1,404	$251K
29540		3.2%	5,889	4,926	$189K
L3202	Orthopedic shoe, oxford with supinator or pronator, child	2.1%	1,555	1,288	$122K
S0395	Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic	1.7%	8,412	7,869	$99K
L4396	Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	356	293	$50K
11721		<1%	2,484	2,035	$23K
73630		<1%	1,422	1,054	$20K
73620		<1%	1,451	848	$18K

14 more codes

L1906	Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf	<1%	123	$11K
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	<1%	157	$8K
99214	Doctor's office visit, returning patient (more involved)	<1%	149	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	148	$4K
73610		<1%	267	$4K
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%	22	$3K
11755		<1%	48	$2K
99072		<1%	12,596	$1K
11720		<1%	79	$550.62
29550		<1%	17	$375.63
11056		<1%	42	$129.79
G0127	Trimming of dystrophic nails, any number	<1%	58	$89.79
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	14	$77.39
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	14	$40.20

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 officialMICHAEL, JONATHAN (OWNER)