Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Orthopedic Surgery and Sports Medicine of New York, PLLC

Orthopedic Surgery and Sports Medicine of New York, PLLC was paid $283K by Medicaid between Oct 2019 and Jul 2022, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoORTHOPEDIC SURGERY AND SPORTS MEDICINE OF NEW YORK, PLLC
YONKERS, NY 10701
33aNPI1144716374assigned 07/11/2018
28Total paid$283K
24GClaims3,785
24DCodes billed10
24AFirst – last monthOct 2019 – Jul 2022
Compared with peers

Next to other Orthopaedic Surgery Physician providers in New York

Rank by total paid#36 of 429
Median peer was paid$4K
This provider vs. median74×

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$20K2018201920202021202220232024
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
2019150$9K
20201,136$82K
20211,614$118K
2022885$73K
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 43% 1,581 1,511 $121K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26% 734 732 $74K
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 14% 360 349 $40K
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 8.5% 149 149 $24K
73562 4.6% 503 413 $13K
73030 1.4% 156 144 $4K
20610 1.1% 53 51 $3K
73560 <1% 115 113 $2K
20611 <1% 12 12 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 122 117 $707.20

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 officialMEHTA, VISHAL (FOUNDING PARTNER)