Southwest Michigan Center for Orthopaedic and Sports Medicine P
Southwest Michigan Center for Orthopaedic and Sports Medicine P was paid $154K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoSOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
33aNPI1104913094assigned 10/10/2006
33bProvider typeSpecialist
28Total paid$154K
24GClaims5,963
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#78 of 181
Median peer was paid$94K
This provider vs. median1.6×
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 | 828 | $23K | |
| 2019 | 639 | $18K | |
| 2020 | 777 | $19K | |
| 2021 | 1,088 | $28K | |
| 2022 | 1,231 | $33K | |
| 2023 | 880 | $22K | |
| 2024incomplete | 520 | $12K |
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 | 44% | 2,003 | 1,891 | $68K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 859 | 848 | $42K |
| 20610 | 17% | 1,362 | 1,205 | $27K | |
| 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 | 5.3% | 181 | 172 | $8K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 3.4% | 1,364 | 1,309 | $5K |
| 73564 | 1.7% | 141 | 113 | $3K | |
| 73610 | <1% | 53 | 50 | $1K |
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 officialEDWARDS, KENNETH (MANAGING PARTNER)