Supplier
Pediatric Orthotic and Prosthetic Services - Southeast, LLC
Pediatric Orthotic and Prosthetic Services - Southeast, LLC was paid $1.16M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is L1960, Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated — 63% of everything it billed.
33Billing provider infoPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST, LLC
GREENVILLE, SC 29605
GREENVILLE, SC 29605
33aNPI1992075295assigned 01/04/2012
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$1.16M
24GClaims9,627
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Prosthetic/Orthotic Supplier providers in South Carolina
Rank by total paid#4 of 17
Median peer was paid$91K
This provider vs. median13×
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 | 589 | $129K | |
| 2019 | 1,481 | $246K | |
| 2020 | 1,492 | $218K | |
| 2021 | 1,541 | $207K | |
| 2022 | 1,506 | $161K | |
| 2023 | 1,489 | $84K | |
| 2024incomplete | 1,529 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L1960 | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated | 63% | 1,927 | 1,070 | $730K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 11% | 1,588 | 818 | $133K |
| L2840 | Addition to lower extremity orthosis, tibial length sock, fracture or equal, each | 9.1% | 2,795 | 1,412 | $106K |
| L1940 | Ankle foot orthosis, plastic or other material, custom fabricated | 7.0% | 248 | 135 | $81K |
| L2270 | Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad | 2.2% | 840 | 392 | $26K |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | 2.1% | 1,356 | 708 | $24K |
| L0984 | Protective body sock, prefabricated, off-the-shelf, each | 1.9% | 217 | 185 | $22K |
| L1200 | Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only | <1% | 14 | 13 | $9K |
| L1210 | Addition to tlso, (low profile), lateral thoracic extension | <1% | 58 | 53 | $9K |
| A4467 | Belt, strap, sleeve, garment, or covering, any type | <1% | 95 | 50 | $4K |
| L1290 | Addition to tlso, (low profile), lateral trochanteric pad | <1% | 68 | 61 | $4K |
| L1930 | Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment | <1% | 24 | 12 | $4K |
7 more codes
| 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% | 25 | $3K |
| L3202 | Orthopedic shoe, oxford with supinator or pronator, child | <1% | 165 | $2K |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | <1% | 22 | $2K |
| L1060 | Addition to ctlso or scoliosis orthosis, thoracic pad | <1% | 31 | $2K |
| L3260 | Surgical boot/shoe, each | <1% | 93 | $1K |
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each | <1% | 49 | $1K |
| L1240 | Addition to tlso, (low profile), lumbar derotation pad | <1% | 12 | $544.92 |
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 officialCARUSO, FRANK (MANAGER)
Parent organizationSHRINERS HOSPTIALS FOR CHILDREN