Physician
Orthopedic Specialists of North America, PLLC
Orthopedic Specialists of North America, PLLC was paid $671K by Medicaid between Jan 2018 and May 2022, across 19 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 37% of everything it billed.
33Billing provider infoORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
GLENDALE, AZ 85308
GLENDALE, AZ 85308
33aNPI1144543257assigned 03/03/2010
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$671K
24GClaims16,029
24DCodes billed19
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Orthopaedic Hand Surgery Physician providers in Arizona
Rank by total paid#2 of 5
Median peer was paid$208K
This provider vs. median3.2×
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 | 3,423 | $152K | |
| 2019 | 4,152 | $170K | |
| 2020 | 3,645 | $129K | |
| 2021 | 3,679 | $167K | |
| 2022 | 1,130 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 37% | 4,073 | 3,814 | $249K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 5,889 | 5,239 | $238K |
| 20610 | 7.8% | 1,210 | 1,089 | $52K | |
| 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 | 5.5% | 603 | 559 | $37K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 4.5% | 984 | 322 | $30K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 2.2% | 788 | 272 | $15K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 2.0% | 362 | 123 | $13K |
| 73562 | 1.6% | 501 | 467 | $11K | |
| 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 | 1.1% | 77 | 75 | $7K |
| 73030 | <1% | 338 | 298 | $6K | |
| 72110 | <1% | 118 | 115 | $4K | |
| 72114 | <1% | 94 | 88 | $3K |
7 more codes
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 217 | $3K |
| 73564 | <1% | 77 | $2K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 115 | $1K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 96 | $405.00 |
| 73502 | <1% | 16 | $334.23 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $226.12 |
| 99072 | 0% | 457 | $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 officialENGLERT, MELISSA (CREDENTIALING)
Parent organizationORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC