Physician
Sport Medicine and Orthopaedic Center INC
Sport Medicine and Orthopaedic Center INC was paid $1.84M by Medicaid between Apr 2018 and Nov 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoSPORT MEDICINE AND ORTHOPAEDIC CENTER INC
CHESAPEAKE, VA 23320
CHESAPEAKE, VA 23320
33aNPI1043246556assigned 06/25/2006
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$1.84M
24GClaims37,926
24DCodes billed26
24AFirst – last monthApr 2018 – Nov 2024
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 | 366 | $9K | |
| 2019 | 2,112 | $88K | |
| 2020 | 3,481 | $175K | |
| 2021 | 6,984 | $216K | |
| 2022 | 9,258 | $460K | |
| 2023 | 9,921 | $577K | |
| 2024incomplete | 5,804 | $318K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 41% | 10,943 | 9,789 | $758K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 10,038 | 9,107 | $491K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.3% | 2,184 | 2,046 | $134K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.6% | 1,065 | 996 | $103K |
| 62323 | 4.8% | 548 | 501 | $88K | |
| 72100 | 2.4% | 1,703 | 1,575 | $44K | |
| 73560 | 2.2% | 1,725 | 1,377 | $41K | |
| 73565 | 1.8% | 1,213 | 1,136 | $33K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 293 | 272 | $32K |
| 20610 | 1.4% | 625 | 550 | $27K | |
| 73630 | 1.3% | 945 | 765 | $23K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,521 | 1,377 | $11K |
14 more codes
| 73610 | <1% | 407 | $11K | |
| 62321 | <1% | 52 | $10K | |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 38 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 221 | $7K |
| 72040 | <1% | 185 | $5K | |
| 73502 | <1% | 97 | $3K | |
| 27096 | <1% | 27 | $3K | |
| 95886 | <1% | 57 | $3K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 192 | $2K |
| 99072 | <1% | 3,252 | $1K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 79 | $1K |
| 73030 | <1% | 45 | $945.73 | |
| 73562 | <1% | 36 | $933.99 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 435 | $874.55 |
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 officialRUNGE-ASHBY, DEBRA (DIRECTOR OF REVENUE CYCLE)