Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Benton Franklin Orthopedic Associates, PLLC

Benton Franklin Orthopedic Associates, PLLC was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoBENTON FRANKLIN ORTHOPEDIC ASSOCIATES, PLLC
KENNEWICK, WA 99336
33aNPI1114965704assigned 06/03/2006
33bProvider typePhysical Therapist
28Total paid$1.26M
24GClaims33,547
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Physical Therapist providers in Washington

Rank by total paid#17 of 155
Median peer was paid$62K
This provider vs. median20×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20185,417$168K
20194,297$167K
20204,383$180K
20216,760$213K
20225,433$205K
20234,424$198K
2024incomplete2,833$127K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 8,046 7,251 $346K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 20% 9,966 2,405 $246K
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 18% 4,446 4,077 $222K
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 17% 2,238 2,201 $214K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13% 2,369 2,328 $166K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 619 556 $18K
20610 1.2% 1,138 781 $15K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1.0% 677 585 $13K
73630 <1% 454 366 $8K
73110 <1% 130 107 $3K
11721 <1% 401 382 $3K
73610 <1% 124 110 $2K
3 more codes
97161 <1% 51 $2K
73130 <1% 65 $1K
99072 <1% 2,823 $6.57

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 officialNEITZEL, MICHAEL (ADMINISTRATOR)