Physician
Northeast Orthopedics and Sports Medicine PLLC
Northeast Orthopedics and Sports Medicine PLLC was paid $2.91M by Medicaid between Jan 2018 and Jan 2022, across 17 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 38% of everything it billed.
33Billing provider infoNORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC
NANUET, NY 10954
NANUET, NY 10954
33aNPI1073937579assigned 02/05/2014
33bProvider typeOrthopaedic Surgery Physician
28Total paid$2.91M
24GClaims29,517
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Orthopaedic Surgery Physician providers in New York
Rank by total paid#9 of 429
Median peer was paid$4K
This provider vs. median758×
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 | 4,318 | $413K | |
| 2019 | 6,623 | $638K | |
| 2020 | 7,868 | $728K | |
| 2021 | 10,014 | $1.06M | |
| 2022 | 694 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 38% | 9,539 | 9,536 | $1.12M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 10,684 | 9,998 | $910K |
| 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 | 16% | 3,928 | 3,815 | $473K |
| 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 | 8.5% | 1,395 | 1,395 | $248K |
| 25600 | 1.5% | 124 | 121 | $43K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.4% | 631 | 272 | $41K |
| 73630 | <1% | 949 | 874 | $21K | |
| 73110 | <1% | 790 | 702 | $19K | |
| 73562 | <1% | 559 | 528 | $15K | |
| 73610 | <1% | 582 | 533 | $13K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 118 | 114 | $6K |
| 73140 | <1% | 143 | 125 | $3K |
5 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 officialSIMON, JORDAN (MBR)