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

The Orthopaedic Center

The Orthopaedic Center was paid $2.77M by Medicaid between Jan 2018 and Oct 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoTHE ORTHOPAEDIC CENTER
HUNTSVILLE, AL 35801
33aNPI1205880291assigned 05/22/2006
28Total paid$2.77M
24GClaims82,442
24DCodes billed61
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Alabama

Rank by total paid#1 of 29
Median peer was paid$76K
This provider vs. median37×

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$50K$100K2018201920202021202220232024
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
201811,383$264K
201917,902$371K
202010,372$336K
20219,710$405K
202214,119$553K
202317,844$730K
2024incomplete1,112$107K
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 24% 20,201 16,719 $653K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17% 8,820 7,358 $460K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 13% 3,340 2,402 $373K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7.5% 12,636 3,048 $208K
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 5.0% 2,878 2,512 $140K
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 4.6% 1,535 1,310 $127K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 3.4% 1,029 713 $95K
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf 3.0% 287 194 $83K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2.7% 3,670 1,062 $74K
L3984 Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment 2.6% 449 309 $72K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 1.9% 2,376 1,691 $52K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf 1.8% 1,261 874 $50K
49 more codes
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.7% 1,996 $46K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 1.5% 1,278 $42K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 1.5% 1,370 $41K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.1% 4,425 $31K
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf 1.0% 600 $28K
97161 <1% 826 $21K
97014 <1% 1,507 $19K
73630 <1% 1,274 $19K
73610 <1% 538 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 976 $17K
20610 <1% 520 $11K
73560 <1% 609 $10K
L2795 Addition to lower extremity orthosis, knee control, full kneecap <1% 324 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 248 $8K
L3995 Addition to upper extremity orthosis, sock, fracture or equal, each <1% 462 $6K
73100 <1% 260 $6K
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf <1% 59 $5K
77073 <1% 213 $5K
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 147 $4K
73562 <1% 270 $4K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 3,169 $3K
73110 <1% 166 $3K
72110 <1% 132 $2K
25600 <1% 20 $2K
97016 <1% 288 $2K
L3675 Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf <1% 37 $2K
72081 <1% 95 $2K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 45 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 392 $1K
73564 <1% 101 $1K
72100 <1% 95 $1K
73130 <1% 60 $1K
73070 <1% 30 $815.94
73620 <1% 78 $680.20
72080 <1% 27 $644.00
E0143 Walker, folding, wheeled, adjustable or fixed height <1% 18 $630.21
20611 <1% 22 $606.86
73030 <1% 88 $568.41
73090 <1% 15 $562.77
J1030 Injection, methylprednisolone acetate, 40 mg <1% 248 $545.84
72170 <1% 30 $374.09
20552 <1% 12 $320.00
L0984 Protective body sock, prefabricated, off-the-shelf, each <1% 21 $301.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 12 $69.56
J1040 Injection, methylprednisolone acetate, 80 mg <1% 13 $68.60
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 107 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 454 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 256 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 27 $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 officialHAMILTON, JEFF (ADMINISTRATOR)