Orthopedic and Sports Institute of the Fox Valley S C

Orthopedic and Sports Institute of the Fox Valley S C was paid $1K by Medicaid between May 2018 and Nov 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoORTHOPEDIC AND SPORTS INSTITUTE OF THE FOX VALLEY S C
APPLETON, WI 54913

33aNPI1003836867assigned 07/21/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$1K

24GClaims95

24DCodes billed2

24AFirst – last monthMay 2018 – Nov 2023

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Wisconsin

Rank by total paid#14 of 21

Median peer was paid$3K

This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	12	$306.17
2019	15	$264.70
2020	22	$126.33
2021	19	$367.38
2022	13	$176.66
2023	14	$128.48

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	91%	73	65	$1K
J1040	Injection, methylprednisolone acetate, 80 mg	9.2%	22	12	$126.33

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialEGGERT, DAVID (MEDICAL DOCTOR)