Physician
Orthopedic Associates, P.C.
Orthopedic Associates, P.C. was paid $1.91M by Medicaid between Jan 2018 and Mar 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoORTHOPEDIC ASSOCIATES, P.C.
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
33aNPI1124235007assigned 05/17/2007
33bProvider typeOrthopaedic Surgery Physician
28Total paid$1.91M
24GClaims77,830
24DCodes billed28
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Michigan
Rank by total paid#3 of 98
Median peer was paid$28K
This provider vs. median67×
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 | 3,680 | $88K | |
| 2019 | 10,763 | $221K | |
| 2020 | 15,275 | $340K | |
| 2021 | 20,101 | $488K | |
| 2022 | 18,651 | $535K | |
| 2023 | 8,146 | $202K | |
| 2024incomplete | 1,214 | $34K |
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% | 20,691 | 11,876 | $831K |
| 20610 | 21% | 13,155 | 6,602 | $406K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 10% | 4,623 | 1,153 | $196K |
| 20553 | 6.0% | 5,974 | 4,008 | $114K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 3.3% | 4,286 | 1,107 | $63K |
| 73564 | 2.6% | 1,789 | 1,614 | $49K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2.5% | 11,501 | 7,241 | $48K |
| 20552 | 2.3% | 2,918 | 2,094 | $44K | |
| 72110 | 1.8% | 1,479 | 1,442 | $35K | |
| 73030 | 1.6% | 1,397 | 1,184 | $31K | |
| 72052 | 1.3% | 894 | 862 | $25K | |
| 72170 | 1.1% | 1,533 | 1,490 | $20K |
16 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 360 | $19K |
| 97163 | <1% | 292 | $15K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 910 | $5K |
| 73610 | <1% | 163 | $3K | |
| J3490 | Unclassified drugs | <1% | 5,527 | $2K |
| 73630 | <1% | 60 | $1K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 35 | $959.18 |
| 20605 | <1% | 19 | $336.49 | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 30 | $0.00 |
| G8984 | Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 30 | $0.00 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 30 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 30 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| G8985 | Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 30 | $0.00 |
| G8982 | Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 31 | $0.00 |
| G8981 | Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 31 | $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 officialMAHARAS, SUSAN (BILLING SUPERVISOR)