Physician
Hiramoto Orthopaedic & Sports Medicine PA
Hiramoto Orthopaedic & Sports Medicine PA was paid $58K by Medicaid between Jan 2018 and May 2021, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoHIRAMOTO ORTHOPAEDIC & SPORTS MEDICINE PA
BRIDGEWATER, NJ 08807
BRIDGEWATER, NJ 08807
33aNPI1124074109assigned 05/25/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$58K
24GClaims3,597
24DCodes billed10
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Orthopaedic Surgery Physician providers in New Jersey
Rank by total paid#30 of 61
Median peer was paid$50K
This provider vs. median1.2×
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 | 1,255 | $26K | |
| 2019 | 1,502 | $18K | |
| 2020 | 570 | $11K | |
| 2021 | 270 | $4K |
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 | 81% | 787 | 670 | $47K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 94 | 94 | $10K |
| 20610 | 1.9% | 25 | 13 | $1K | |
| 1036F | 0% | 732 | 590 | $0.00 | |
| 1101F | 0% | 21 | 14 | $0.00 | |
| 1006F | 0% | 15 | 13 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 62 | 56 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 672 | 546 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,094 | 853 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 95 | 74 | $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 officialHIRAMOTO, HARLAN (PRESIDENT)