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

Rio Grande Orthotics and Prosthetics

Rio Grande Orthotics and Prosthetics was paid $480K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is L2275, Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined — 40% of everything it billed.

33Billing provider infoRIO GRANDE ORTHOTICS AND PROSTHETICS
SANTA FE, NM 87505
33aNPI1972680593assigned 11/01/2006
28Total paid$480K
24GClaims5,657
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in New Mexico

Rank by total paid#1 of 6
Median peer was paid$50K
This provider vs. median9.5×

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$10K$20K$30K2018201920202021202220232024
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
20181,145$92K
20191,589$147K
20201,009$71K
2021681$68K
2022550$45K
2023337$24K
2024incomplete346$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 40% 1,981 1,143 $192K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 13% 1,014 650 $64K
L2270 Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad 12% 1,500 835 $60K
L2280 Addition to lower extremity, molded inner boot 11% 156 81 $51K
L1907 Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated 6.9% 74 43 $33K
L1970 Ankle foot orthosis, plastic with ankle joint, custom fabricated 6.8% 77 52 $33K
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 3.5% 456 260 $17K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf 2.6% 155 154 $13K
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated 2.0% 22 12 $10K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 1.3% 168 166 $6K
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 <1% 26 12 $2K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 28 28 $1K

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 officialSEXTON, FOREST (MEMBER)
Same official

Other billing entities under SEXTON, FOREST

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