Using AOPA’s CMS Data Portal you can access comprehensive, easy to use, easy to read Medicare Part B orthotic and prosthetic claims data for select years (additional years are available with special request). Use this data to see who is currently using a product or see how your claims stack up against other facilities and providers. The data is updated annually to ensure you have the most recent data at your fingertips. Directions are below.

Year Provider Speciality Groups State
HCPCS Provider Specialty Clear
 
 

Step 1: You must select the year or years from the Year dropdown menu. 

Step 2: You must select the HCPCS code(s) from the HCPCS dropdown menu. You may select your own set of codes and/or you may select one of the predefined set of codes  (Orthotic Base Codes, Custom Fabricated Orthotic Codes, Custom Fitted Orthotic Codes, Off-The-Shelf (OTS) Orthotic Codes, Prosthetic Base Codes, and Diabetic Shoes & Inserts).

Step 3:  You must select the provider specialty or specialties. You may select one or more specialties from the Provider Specialty dropdown menu, or you may select one or more of the predefined Provider  Specialty Groups ( Certified O&P, Facility, Medical Supply/DME, OT,  Other , Pharmacy,  Physician , Podiatry, and PT ) from the Provider  Specialty Groups dropdown menu. You may only use one menu at a time, you cannot select from both the Provider Specialty and Provider Specialty Groups dropdown menus.

Step 4 (Optional): You may select a single state or a series of states to review. If you don’t select a single state or a series of states, it defaults to a combined total of all states.

Step 5: You must select “View Summary Report” or “View Detail Report”.  “View Summary Report” provides the sum totals of your selected parameters. “View Detail Report” provides a line-by-line account of your selected parameters. Once you select your report type, the data is available in the portal below the report buttons, or you may proceed to Step 6.

NOTE: the time needed to generate your report will be based on the number of parameters selected (number of years, number of codes, number of provider specialties, number of states, etc.).

Step 6 (Optional):  To print a copy of the report click on the print icon in the upper left-hand corner of the report viewing screen.  To export a copy, click on the export icon in the upper left-hand corner of the report viewing screen and select your preferred format (PDF, Excel, Word, or HTML).

Any questions or issues please contact Joe McTernan at jmcteran@AOPAnet.org or Devon Bernard at dbernard@AOPAnet.org

Data Accuracy Disclaimer: The data is derived from CMS Public Use Files and the Physician Supplier Procedure Summary files and is a summary of a calendar year Medicare Part B carrier and durable medical equipment fee-for-service claims. CMS public data is derived from data that is used by the agency for operational purposes, and CMS does not guarantee 100% accuracy of all records and all fields. CMS does apply suppression logic for any data where the line count is less than 11.