North Shore Orthopaedics, SC

North Shore Orthopaedics, SC was paid $10K by Medicaid between Jan 2018 and Jan 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoNORTH SHORE ORTHOPAEDICS, SC
GLENDALE, WI 53217

33aNPI1083715676assigned 09/26/2006

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$10K

24GClaims380

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Wisconsin

Rank by total paid#11 of 25

Median peer was paid$5K

This provider vs. median1.9×

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	206	$6K
2019	135	$3K
2020	26	$621.97
2021	13	$0.00

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	70%	299	258	$7K
20610		19%	55	25	$2K
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	11%	13	13	$1K
99072		0%	13	12	$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 officialFLESCH, JAMES (PRESIDENT)