Supplier
Pediatric Orthotic and Prosthetic Services - Northeast, LLC
Pediatric Orthotic and Prosthetic Services - Northeast, LLC was paid $11K by Medicaid between Jun 2021 and Sep 2024, across 4 billing codes. Its largest line is L2275, Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined — 52% of everything it billed.
33Billing provider infoPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHEAST, LLC
ERIE, PA 16505
ERIE, PA 16505
33aNPI1992175459assigned 09/28/2015
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$11K
24GClaims191
24DCodes billed4
24AFirst – last monthJun 2021 – Sep 2024
Compared with peers
Next to other Prosthetic/Orthotic Supplier providers in Pennsylvania
Rank by total paid#26 of 37
Median peer was paid$105K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 26 | $1K | |
| 2023 | 140 | $8K | |
| 2024incomplete | 25 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 52% | 92 | 54 | $6K |
| L4386 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 22% | 27 | 27 | $2K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 22% | 51 | 51 | $2K |
| L2270 | Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad | 3.6% | 21 | 12 | $399.02 |
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 officialBETANCOURT, ALEX (MANAGER)
Parent organizationPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHEAST, LLC