Down East Orthopedic Assoc PA
Down East Orthopedic Assoc PA was paid $643K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoDOWN EAST ORTHOPEDIC ASSOC PA
BANGOR, ME 04401
BANGOR, ME 04401
33aNPI1194763110assigned 06/03/2006
33bProvider typePhysical Therapist
28Total paid$643K
24GClaims24,946
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physical Therapist providers in Maine
Rank by total paid#3 of 39
Median peer was paid$42K
This provider vs. median15×
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 | 2,512 | $51K | |
| 2019 | 2,974 | $69K | |
| 2020 | 2,946 | $72K | |
| 2021 | 3,459 | $82K | |
| 2022 | 4,366 | $114K | |
| 2023 | 4,542 | $134K | |
| 2024incomplete | 4,147 | $122K |
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% | 9,303 | 8,437 | $282K |
| 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 | 11% | 1,479 | 1,340 | $69K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.9% | 1,219 | 1,167 | $57K |
| 20611 | 8.8% | 1,556 | 1,294 | $57K | |
| 20610 | 7.2% | 2,065 | 1,751 | $46K | |
| 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 | 3.6% | 314 | 278 | $23K |
| 73562 | 3.6% | 1,618 | 1,452 | $23K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 3.1% | 2,695 | 2,477 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 762 | 708 | $16K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.4% | 1,551 | 368 | $15K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.3% | 713 | 197 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 111 | 91 | $7K |
15 more codes
| 73630 | <1% | 167 | $2K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 301 | $2K |
| 73110 | <1% | 100 | $2K | |
| 73565 | <1% | 172 | $2K | |
| 73560 | <1% | 186 | $2K | |
| 73610 | <1% | 157 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $2K |
| 73502 | <1% | 82 | $1K | |
| 73030 | <1% | 84 | $1K | |
| 73140 | <1% | 58 | $813.47 | |
| 97165 | <1% | 22 | $790.56 | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 37 | $722.20 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 122 | $579.34 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $268.89 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 46 | $48.69 |
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 officialMERRILL, GERALD (ADMINISTRATOR)