Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Birmingham › NPI 1043268402
Physician

Southlake Orthopaedics Sports Medicine & Spine Center PC

Southlake Orthopaedics Sports Medicine & Spine Center PC was paid $80K by Medicaid between Jan 2018 and Dec 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoSOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE & SPINE CENTER PC
BIRMINGHAM, AL 35244
33aNPI1043268402assigned 05/05/2006
28Total paid$80K
24GClaims12,502
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Alabama

Rank by total paid#14 of 29
Median peer was paid$76K
This provider vs. median1.1×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018310$4K
2019374$8K
20202,505$3K
20213,819$20K
20223,279$23K
20232,215$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 54% 670 547 $43K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 759 445 $18K
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 12% 110 92 $10K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.7% 55 54 $4K
L3020 Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each 3.7% 25 12 $3K
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf 3.5% 43 28 $3K
73630 <1% 19 12 $115.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 2,295 1,529 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 499 226 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 891 496 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 5,389 3,118 $0.00
99072 0% 749 579 $0.00
2 more codes
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 961 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 37 $0.00

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 officialBLUM, MICHAEL (PRESIDENT)
Same official

Other billing entities under BLUM, MICHAEL

Full network →
ProviderLocationPaid
Sono Vision, LLCNorwalk, CT$166K
Michael a Blum DO PAPort Saint Lucie, FL$41K
Elite Hospitalists, LLCPort St Lucie, FL$9K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.