Physician
Merrillville Orthopedics and Spine Institute LLC
Merrillville Orthopedics and Spine Institute LLC was paid $179K by Medicaid between Dec 2022 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoMERRILLVILLE ORTHOPEDICS AND SPINE INSTITUTE LLC
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
33aNPI1063145183assigned 07/06/2022
33bProvider typeOrthopaedic Surgery Physician
28Total paid$179K
24GClaims4,557
24DCodes billed18
24AFirst – last monthDec 2022 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Indiana
Rank by total paid#9 of 41
Median peer was paid$30K
This provider vs. median6.1×
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
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 | |
|---|---|---|---|
| 2022 | 75 | $3K | |
| 2023 | 2,532 | $90K | |
| 2024incomplete | 1,950 | $86K |
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 | 50% | 1,425 | 1,144 | $89K |
| 99205 | Prolong outpt/office vis | 13% | 318 | 234 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 447 | 304 | $19K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 8.9% | 340 | 94 | $16K |
| 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 | 4.9% | 117 | 101 | $9K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 3.7% | 256 | 89 | $7K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 3.4% | 294 | 92 | $6K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.5% | 133 | 45 | $3K |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 1.3% | 330 | 96 | $2K |
| 97035 | 1.2% | 227 | 72 | $2K | |
| 97162 | <1% | 14 | 13 | $1K | |
| 20610 | <1% | 25 | 13 | $499.79 |
6 more codes
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 officialRERRI, BERNARD (OWNER)