Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MANCHESTER ORTHOPEDIC INC.

NPI: 1982881983 · AIRMONT, NY 10952 · Prosthetic/Orthotic Supplier · NPI assigned 01/22/2008

$6K
Total Medicaid Paid
185
Total Claims
104
Beneficiaries
3
Codes Billed
2018-10
First Month
2020-01
Last Month

Provider Details

Authorized OfficialTEITELBAUM, ABRAHAM (PRES.)
NPI Enumeration Date01/22/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23 $713.00
2019 129 $4K
2020 33 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L3400 Metatarsal bar wedge, rocker 131 75 $4K
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 27 15 $1K
A5503 For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe 27 14 $596.10