Ross JR, William a J

Ross JR, William a J was paid $61K by Medicaid between Aug 2019 and Aug 2022, across 6 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 34% of everything it billed.

33Billing provider infoROSS JR, WILLIAM A J
RIVERDALE, GA 30274

33aNPI1245282037assigned 05/17/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$61K

24GClaims1,928

24DCodes billed6

24AFirst – last monthAug 2019 – Aug 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Georgia

Rank by total paid#5 of 22

Median peer was paid$7K

This provider vs. median8.8×

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	224	$8K
2020	509	$16K
2021	846	$26K
2022	349	$10K

Box 24 · Service lines

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	34%	825	707	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	681	571	$20K
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%	181	151	$10K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	14%	206	182	$8K
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	1.1%	14	13	$671.00
73610		<1%	21	12	$259.30

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.