Upper Valley Orthopedics, PLLC
Upper Valley Orthopedics, PLLC was paid $33K by Medicaid between Jan 2018 and Nov 2023, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 66% of everything it billed.
REXBURG, ID 83440
Next to other Specialist providers in Idaho
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 157 | $5K | |
| 2019 | 51 | $1K | |
| 2020 | 58 | $2K | |
| 2021 | 245 | $10K | |
| 2022 | 227 | $9K | |
| 2023 | 117 | $6K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 66% | 634 | 544 | $22K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 18% | 105 | 104 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 102 | 92 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 14 | 14 | $1K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Brainerd Medical Center INC | Baxter, MN | $186K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.