Orthopedic Surgery and Sports
Orthopedic Surgery and Sports was paid $155K by Medicaid between Sep 2018 and May 2023, across 8 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 33% of everything it billed.
33Billing provider infoORTHOPEDIC SURGERY AND SPORTS
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
33aNPI1083729438assigned 08/19/2006
33bProvider typePhysical Therapist
28Total paid$155K
24GClaims4,272
24DCodes billed8
24AFirst – last monthSep 2018 – May 2023
Compared with peers
Next to other Physical Therapist providers in Idaho
Rank by total paid#44 of 97
Median peer was paid$136K
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
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 | 44 | $2K | |
| 2019 | 192 | $8K | |
| 2020 | 461 | $22K | |
| 2021 | 2,386 | $79K | |
| 2022 | 1,102 | $40K | |
| 2023 | 87 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 33% | 1,602 | 505 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 785 | 692 | $36K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 12% | 891 | 301 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 283 | 273 | $17K |
| 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 | 9.4% | 224 | 188 | $15K |
| 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 | 8.8% | 151 | 147 | $14K |
| 97016 | 2.3% | 321 | 108 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 13 | $435.04 |
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 officialDUNTEMAN, ROGER (OWNER/PARTNER)