Friday, May 27, 2022

“In-depth shoes” responses

Thanks to those who responded!!

Randy McFarland, CPO

Sunny Hills Orthopedic Services, Inc.

www.sunnyhills.com

Original post:

Where do you procure your depth shoes locally or through a national source?

What are you having to pay?

Do you provide depth shoes to Medicaid clients?

Is your markup compatable with surviving as a practice?

Answer any, all or no questions.

Responses received:

Apex Ambulator from Cascade $68.00

We try to get custom shoes and pay 225-240 bucks. TRUFIT is hit and miss. We

make no money but do not lose too much if you consider your time.

National source/ PW Minor

About $56 a pair

No

No

I get mine from APEX of course I don’t sell’em I give’em away….New Balance

tennis shoes come in wide if that will help.

Medicaid is coveing for our kids to get TM2000 shoes routinely. They are

ridiculously expensive actually, so I guess the “markup” is adequate. I

encourage people to use regular shoes if the child’s foot is slim and not

high-arched, but a lot of kids can find nothing else to go on over

orthotic devices.

We buy our depth shoes almost exclusively from P.W. Minor & Sons, Batavia,

NY. Prices range anywhere from $65.00-$95.00. We have found that they have

the largest selection, excellent quality, and superior service over other

companies manufacturing depth shoes. We do provide Medicaid recipients with

depth shoes but normally only as a sideline service. We seem to be

obligated to provide shoes for our referral sources of prosthetic/orthotic

clients. If we had to rely only on New York State Medicaid fees for our

markup, the practice would not be viable. We also provide plastazote lined

depth shoes for our diabetic clients under the Medicare Therapeutic Shoe

program. For those we use M.J. Markell, and Otto Bock has a limited line of

quality depth shoes.

Is this a joke!!!!!!!!!!!!!! Hell no we make no money from shoes and they

are the bane of our existence!!!!!!!

Randy, I have a practice within a county hospital and:

1.) we procure our depth shoes locally through a pedorthist. We refer our

patients to this individual only for shoe fittings. We have our patients

return to us for a follow up appointment after receiving the shoes to

evaluate the overall fit of the shoe, to evaluate the orthosis fit in the

shoe, and to evaluate for the installation of customized shoe modifications

(i.e., wedges, rocker soles, etc.) when indicated

2.) The county hospital has a contract with the pedorthist and I am not sure

what the contracted amount per shoe is although, I do understand that extra

depth name brand shoes such as SAS can go for over $100 in this region.

3.) The county hospital does provide depth shoes for medicaid clients and

this is funded through a special “shoe fund” for at-risk patients with

diabetes. This fund is financed through a hospital tax for Dallas county

residents.

4.) Since our O and P practice is primarily to provide customized devices

and is currently separate of providing shoes, only the customization of depth

shoes that our patient receive, we are able to survive as a practice.

Hope this information was of some benefit. I am very interested to learn the

responses to these questions that you receive from other members of the

listserv.

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