Is HOME ORTHOPEDICS CORP flagged for Medicaid fraud?

HOME ORTHOPEDICS CORP (NPI: 1578560447) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does HOME ORTHOPEDICS CORP bill Medicaid?

HOME ORTHOPEDICS CORP received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Prosthetic/Orthotic Supplier provider. Located in SAN JUAN, PR.

What is NPI 1578560447?

NPI 1578560447 is the National Provider Identifier for HOME ORTHOPEDICS CORP. They are a Prosthetic/Orthotic Supplier provider based in SAN JUAN, PR. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

HOME ORTHOPEDICS CORP

Prosthetic/Orthotic Supplier·SAN JUAN, PR·NPI: 1578560447Share

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$20.7M

$20,668,430

Total Claims

8,736

Beneficiaries

7,127

1.2 claims/patient

Avg Cost/Claim

$2K

Monthly Spending Trend

Yearly Spending

2018

$1.6M

+4%

2019

$1.7M

-10%

2020

$1.5M

+132%

2021

$3.5M

-3%

2022

$3.4M

+20%

2023

$4.1M

+14%

2024

$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (L8699 (Prosthetic implant, not otherwise classified)) accounts for 99% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

L8699Prosthetic implant, not otherwise classifiedSee all providers →

$20.4M

6,843 claims

$2,986.71

$389.88

7.7×

Top 25%

L8699Top 25%

Prosthetic implant, not otherwise classified

$20.4M

6,843 claims · 98.9%

Your Cost: $2,986.71/claim|Median: $389.88

7.7× median

L5673 See all providers →

$86K

116 claims

$737.77

$425.42

1.7×

Top 10%

L5673Top 10%

$86K

116 claims · 0.4%

Your Cost: $737.77/claim|Median: $425.42

1.7× median

A5500Diabetic therapeutic shoe, depth, eachSee all providers →

$38K

836 claims

$45.14

$33.21

1.4×

Normal range

A5500Normal range

Diabetic therapeutic shoe, depth, each

$38K

836 claims · 0.2%

Your Cost: $45.14/claim|Median: $33.21

1.4× median

L5671 See all providers →

$36K

73 claims

$491.90

$202.19

2.4×

Top 5%

L5671Top 5%

$36K

73 claims · 0.2%

Your Cost: $491.90/claim|Median: $202.19

2.4× median

A5512Diabetic shoe insert, custom molded, eachSee all providers →

$34K

654 claims

$52.12

$24.01

2.2×

Top 25%

A5512Top 25%

Diabetic shoe insert, custom molded, each

$34K

654 claims · 0.2%

Your Cost: $52.12/claim|Median: $24.01

2.2× median

L8420 See all providers →

$18K

86 claims

$209.54

$49.62

4.2×

Top 5%

L8420Top 5%

$18K

86 claims · 0.1%

Your Cost: $209.54/claim|Median: $49.62

4.2× median

L8030 See all providers →

$7K

24 claims

$288.41

$162.05

1.8×

Top 5%

L8030Top 5%

$7K

24 claims · 0.0%

Your Cost: $288.41/claim|Median: $162.05

1.8× median

L8000 See all providers →

$6K

26 claims

$220.62

$35.28

6.3×

Top 1%

L8000Top 1%

$6K

26 claims · 0.0%

Your Cost: $220.62/claim|Median: $35.28

6.3× median

L2820 See all providers →

$4K

13 claims

$320.23

$56.23

5.7×

Top 1%

L2820Top 1%

$4K

13 claims · 0.0%

Your Cost: $320.23/claim|Median: $56.23

5.7× median

L5962 See all providers →

$2K

14 claims

$117.03

$201.18

0.6×

Normal range

L5962Normal range

$2K

14 claims · 0.0%

Your Cost: $117.03/claim|Median: $201.18

0.6× median

L8470 See all providers →

$611

51 claims

$11.98

$14.97

0.8×

Normal range

L8470Normal range

$611

51 claims · 0.0%

Your Cost: $11.98/claim|Median: $14.97

0.8× median

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