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PACIFIC MEDICAL, INC.

Prosthetic/Orthotic Supplier·TRACY, CA·NPI: 1326048893Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$62.4M

$62,381,114

Total Claims

727K

Beneficiaries

690K

1.1 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$7.7M
+7%
2019
$8.3M
-13%
2020
$7.2M
+27%
2021
$9.1M
-2%
2022
$8.9M
+13%
2023
$10.1M
+10%
2024
$11.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (L4361) accounts for 21% of total spending.

L4361Normal range

$12.9M

69K claims · 20.7%

Your Cost: $187.26/claim|Median: $161.24
1.2× median
L3809Normal range

$6.1M

45K claims · 9.8%

Your Cost: $134.50/claim|Median: $115.28
1.2× median
L1833Normal range

$6.0M

16K claims · 9.6%

Your Cost: $378.10/claim|Median: $278.90
1.4× median
L3660Normal range

$5.9M

111K claims · 9.5%

Your Cost: $53.38/claim|Median: $50.90
1.0× median
S1040Normal range

Cranial remolding orthosis, per device

$5.6M

2,338 claims · 8.9%

Your Cost: $2,383.10/claim|Median: $1,936.44
1.2× median
E0114Normal range

$4.2M

132K claims · 6.7%

Your Cost: $31.36/claim|Median: $29.11
1.1× median
L3908Normal range

$3.2M

82K claims · 5.2%

Your Cost: $39.22/claim|Median: $35.79
1.1× median
L1830Top 25%

$2.1M

37K claims · 3.4%

Your Cost: $57.55/claim|Median: $46.06
1.2× median
L4350Normal range

$1.7M

28K claims · 2.8%

Your Cost: $60.51/claim|Median: $52.71
1.1× median
L3670Normal range

$1.6M

23K claims · 2.6%

Your Cost: $69.41/claim|Median: $60.60
1.1× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$1.4M

32K claims · 2.3%

Your Cost: $43.71/claim|Median: $31.59
1.4× median
L1820Normal range

$1.3M

17K claims · 2.1%

Your Cost: $74.85/claim|Median: $73.16
1.0× median
L4387Normal range

$1.0M

9,325 claims · 1.6%

Your Cost: $108.01/claim|Median: $96.24
1.1× median
L1852Top 10%

$824K

1,630 claims · 1.3%

Your Cost: $505.23/claim|Median: $97.81
5.2× median
L1906Normal range

Ankle-foot orthosis, multiligamentous ankle support

$768K

10K claims · 1.2%

Your Cost: $75.56/claim|Median: $61.75
1.2× median
L3260Normal range

$641K

27K claims · 1.0%

Your Cost: $23.88/claim|Median: $16.57
1.4× median
L1902Top 25%

$545K

8,944 claims · 0.9%

Your Cost: $60.94/claim|Median: $46.30
1.3× median
L3000Top 25%

Foot insert, removable, molded to patient model

$398K

1,431 claims · 0.6%

Your Cost: $277.92/claim|Median: $205.41
1.4× median
L1812Normal range

$396K

6,214 claims · 0.6%

Your Cost: $63.79/claim|Median: $57.48
1.1× median
L0464Normal range

$392K

730 claims · 0.6%

Your Cost: $537.66/claim|Median: $396.41
1.4× median
L5673Top 25%

$374K

609 claims · 0.6%

Your Cost: $613.89/claim|Median: $425.42
1.4× median
L3982Normal range

$304K

1,300 claims · 0.5%

Your Cost: $233.88/claim|Median: $220.50
1.1× median
L0174Normal range

$294K

1,971 claims · 0.5%

Your Cost: $149.28/claim|Median: $119.20
1.3× median
L1851Top 10%

$268K

550 claims · 0.4%

Your Cost: $487.39/claim|Median: $40.53
12.0× median
L1970Normal range

$265K

829 claims · 0.4%

Your Cost: $319.22/claim|Median: $447.43
0.7× median
L2112Top 1%

$254K

758 claims · 0.4%

Your Cost: $334.46/claim|Median: $234.68
1.4× median
L2820Normal range

$231K

4,743 claims · 0.4%

Your Cost: $48.67/claim|Median: $56.23
0.9× median
L0172Normal range

$229K

3,579 claims · 0.4%

Your Cost: $64.00/claim|Median: $59.19
1.1× median
L2425Normal range

$219K

2,310 claims · 0.4%

Your Cost: $94.63/claim|Median: $78.11
1.2× median
L2275Normal range

$196K

2,911 claims · 0.3%

Your Cost: $67.41/claim|Median: $81.97
0.8× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$189K

5,255 claims · 0.3%

Your Cost: $35.90/claim|Median: $33.21
1.1× median
L4397Normal range

$188K

1,942 claims · 0.3%

Your Cost: $96.68/claim|Median: $97.67
1.0× median
L3761Top 25%

$140K

617 claims · 0.2%

Your Cost: $226.39/claim|Median: $56.41
4.0× median
L3650Normal range

$139K

4,547 claims · 0.2%

Your Cost: $30.54/claim|Median: $31.79
1.0× median
A5513Normal range

Diabetic therapeutic shoe, each, custom molded

$131K

4,565 claims · 0.2%

Your Cost: $28.68/claim|Median: $40.80
0.7× median
L3984Top 25%

$109K

437 claims · 0.2%

Your Cost: $248.78/claim|Median: $198.13
1.3× median
L5301Normal range

$100K

75 claims · 0.2%

Your Cost: $1,327.35/claim|Median: $1,278.53
1.0× median
L3924Normal range

$98K

1,994 claims · 0.2%

Your Cost: $49.32/claim|Median: $41.40
1.2× median
L5940Normal range

$95K

397 claims · 0.2%

Your Cost: $238.91/claim|Median: $185.49
1.3× median
L5671Normal range

$91K

321 claims · 0.1%

Your Cost: $284.62/claim|Median: $202.19
1.4× median
L3760Top 10%

$84K

353 claims · 0.1%

Your Cost: $238.00/claim|Median: $85.54
2.8× median
E0935Normal range

$81K

476 claims · 0.1%

Your Cost: $170.94/claim|Median: $121.70
1.4× median
L1940Normal range

$80K

422 claims · 0.1%

Your Cost: $189.16/claim|Median: $326.72
0.6× median
L5637Normal range

$74K

546 claims · 0.1%

Your Cost: $135.94/claim|Median: $126.39
1.1× median
L5620Normal range

$69K

463 claims · 0.1%

Your Cost: $148.27/claim|Median: $158.44
0.9× median
L2999Normal range

$61K

970 claims · 0.1%

Your Cost: $63.14/claim|Median: $47.06
1.3× median
L3807Normal range

$56K

419 claims · 0.1%

Your Cost: $133.71/claim|Median: $120.29
1.1× median
E0100Normal range

$56K

4,733 claims · 0.1%

Your Cost: $11.81/claim|Median: $9.96
1.2× median
L3980Top 1%

$54K

342 claims · 0.1%

Your Cost: $158.78/claim|Median: $156.71
1.0× median
L2830Normal range

$52K

994 claims · 0.1%

Your Cost: $52.54/claim|Median: $56.20
0.9× median

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