Supplier
Winchester Orthopaedic Associates LTD
Winchester Orthopaedic Associates LTD was paid $42K by Medicaid between May 2019 and Jan 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoWINCHESTER ORTHOPAEDIC ASSOCIATES LTD
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1205854023assigned 07/18/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$42K
24GClaims909
24DCodes billed8
24AFirst – last monthMay 2019 – Jan 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Virginia
Rank by total paid#100 of 229
Median peer was paid$17K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2019 | 57 | $2K | |
| 2020 | 16 | $730.91 | |
| 2021 | 180 | $8K | |
| 2022 | 108 | $6K | |
| 2023 | 445 | $22K | |
| 2024incomplete | 103 | $3K |
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 | 63% | 562 | 502 | $26K |
| 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 | 22% | 135 | 122 | $9K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 4.8% | 73 | 26 | $2K |
| 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 | 3.4% | 12 | 12 | $1K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.1% | 38 | 12 | $901.37 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 33 | 30 | $850.48 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.7% | 28 | 12 | $719.06 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.3% | 28 | 12 | $536.99 |
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 officialKERNS, KRISTINA (CPC)