Orthopedic Assoc of Long Island Physicians & Medical Group PLLC

Orthopedic Assoc of Long Island Physicians & Medical Group PLLC was paid $1.94M by Medicaid between Sep 2019 and Nov 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS & MEDICAL GROUP PLLC
EAST SETAUKET, NY 11733

33aNPI1225593809assigned 02/07/2019

33bProvider typeOrthopaedic Surgery Physician

28Total paid$1.94M

24GClaims28,999

24DCodes billed30

24AFirst – last monthSep 2019 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in New York

Rank by total paid#12 of 429

Median peer was paid$4K

This provider vs. median505×

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	193	$19K
2020	8,473	$333K
2021	7,317	$431K
2022	5,712	$552K
2023	6,420	$535K
2024incomplete	884	$70K

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	31%	5,683	5,211	$606K
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	19%	2,508	2,350	$376K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	14%	4,858	1,664	$280K
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	13%	1,179	1,179	$254K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.0%	1,249	1,249	$175K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	6.9%	4,677	1,599	$134K
97035		1.2%	1,620	557	$22K
97014		1.0%	1,487	487	$20K
97161		<1%	154	153	$14K
20611		<1%	79	75	$11K
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%	1,222	484	$10K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	281	90	$9K

18 more codes

73630		<1%	103	$4K
72100		<1%	92	$4K
99072		<1%	2,813	$3K
73562		<1%	63	$3K
73110		<1%	47	$2K
73564		<1%	33	$2K
73130		<1%	51	$2K
97164		<1%	16	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	15	$1K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	32	$1K
73620		<1%	31	$1K
20610		<1%	13	$1K
73140		<1%	19	$780.89
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	64	$571.65
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	38	$524.81
73610		<1%	15	$477.56
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	14	$150.64
99024		0%	543	$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 officialPUOPOLO, STEVEN (PRINCIPAL PHYSICIAN)