Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Hanger Prosthetics & Orthotics East Inc. (NPI 1003975830)

Field	Value
Entity Type	Organization
Organization	Hanger Prosthetics & Orthotics East Inc.
Address	9000 W Wisconsin Ave Ste L65
City	Milwaukee
State	WI
ZIP	53226
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	December 7, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	1,630	$240	$381.9K
L2820	Addition to lower extremity orthosis, soft interface for molded plastic, below knee section	3,000	$80	$240.3K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	3,080	$70	$221.4K
L2280	Addition to lower extremity, molded inner boot	760	$240	$180.3K
L1907	Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated	670	$250	$166.2K
L2840	Addition to lower extremity orthosis, tibial length sock, fracture or equal, each	800	$50	$42.3K
L2270	Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad	1,090	$30	$37K
L1970	Ankle foot orthosis, plastic with ankle joint, custom fabricated	70	$260	$19.4K
L1200	Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only	10	$970	$12.6K
L1210	Addition to tlso, (low profile), lateral thoracic extension	50	$220	$10.8K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wisconsin Distribution

Hanger Prosthetics & Orthotics East Inc. — 4 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	1	10	40	$230	$100.7K
L2280	Addition to lower extremity, molded inner boot	1	10	200	$230	$78.6K
L1907	Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated	1	10	240	$240	$76.8K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	2	10	170	$70	$69.2K
L2820	Addition to lower extremity orthosis, soft interface for molded plastic, below knee section	1	10	140	$70	$64.7K
L2270	Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad	2	10	1,090	$40	$42K
L2840	Addition to lower extremity orthosis, tibial length sock, fracture or equal, each	2	10	110	$60	$21K
L1970	Ankle foot orthosis, plastic with ankle joint, custom fabricated	2	10	70	$240	$19.5K
L1200	Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only	1	10	10	$970	$12.7K
L1210	Addition to tlso, (low profile), lateral thoracic extension	1	10	50	$220	$10.8K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Hanger Prosthetics & Orthotics East Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Of Wisconsin, Inc.	WI	Children's Hospital	$0	$262.3M
Froedtert Memorial Lutheran Hospital, Inc.	WI	General Acute Care Hospital	$0	$157.8M
The Medical College Of Wisconsin, Inc.	WI	Internal Medicine Physician	$17.8K	$74.8M
Emergency Medicine Specialists, S.c.	WI	Emergency Medicine Physician	$0	$35.3M
Wisconsin Diagnostic Laboratories LLC	WI	Clinical Medical Laboratory	$2.3M	$22.7M
Childrens Hospital Of Wisconsin, Inc.	WI	Pediatrics Physician	$0	$19M
Children's Hospital And Health System, Inc.	WI	Urgent Care Clinic/Center	$0	$17.7M
Option Care Home Care Inc	WI	Pharmacy	$0	$12.5M
Curative Care Network, Inc.	WI	Rehabilitation Clinic/Center	$0	$12.2M
Children's Specialty Group, Inc.	WI	Pediatrics Physician	$0	$10.4M

Hanger Prosthetics & Orthotics East Inc. — Billing Profile & Reimbursement Data

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Hanger Prosthetics & Orthotics East Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References