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 Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona 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. Arizona (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.

Pongratz Orthotics And Prosthetics, Inc. (NPI 1427179753)

Field	Value
Entity Type	Organization
Organization	Pongratz Orthotics And Prosthetics, Inc.
Address	730 N 52nd St Ste 100
City	Phoenix
State	AZ
ZIP	85008
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	April 3, 2007

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L5673	Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or…	1,050	$660	$694.6K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	3,160	$170	$544K
A6512	Compression burn garment, not otherwise classified	820	$510	$420.6K
L5637	Addition to lower extremity, below knee, total contact	1,590	$180	$289.9K
L0174	Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf	1,710	$160	$264.3K
L5301	Below knee, molded socket, shin, sach foot, endoskeletal system	170	$1,560	$263.3K
L5671	Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert	830	$300	$246.5K
L4360	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a…	1,340	$170	$228.1K
L8420	Prosthetic sock, multiple ply, below knee, each	1,930	$110	$206K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	1,490	$130	$199.1K

Showing 1–10 of 75

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Pongratz Orthotics And Prosthetics, Inc. — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

75 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…	4	10	80	$660	$509.5K
L1970	Ankle foot orthosis, plastic with ankle joint, custom fabricated	2	10	210	$640	$422.1K
A6512	Compression burn garment, not otherwise classified	1	10	820	$510	$420.8K
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	3	10	90	$580	$279K
L5301	Below knee, molded socket, shin, sach foot, endoskeletal system	1	10	170	$1,560	$263.4K
L5673	Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or…	1	10	50	$660	$244.7K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	3	20	250	$170	$202.2K
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	5	10	1,590	$70	$195.7K
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	10	10	140	$120	$144.7K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	4	20	400	$130	$128.5K

Showing 1–10 of 75

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maricopa County Special Health Care District	AZ	General Acute Care Hospital	$0	$251.6M
District Medical Group, Inc	AZ	Internal Medicine Physician	$0	$130.6M
Maricopa County Special Health Care District	AZ	Federally Qualified Health Center (FQHC)	$0	$56.5M
St. Luke's Pediatrics	AZ	Primary Care Clinic/Center	$0	$31.6M
Alliance Ambulance Of Arizona LLC	AZ	Ambulance	$444.7K	$31.1M
Elevate Youth And Family Services	AZ	Mental Health Counselor	$0	$24.6M
Maricopa County Special Health Care District	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$12.5M
Terros Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$11.9M
Safe Wing LLC	AZ	Non-emergency Medical Transport (VAN)	$0	$11.7M
Mind 247 Practice LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.5M

Pongratz Orthotics And Prosthetics, Inc. — Billing Profile & Reimbursement Data

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Pongratz Orthotics And Prosthetics, 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