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

Orthopedic Associates of Port Huron PC

Orthopedic Associates of Port Huron PC was paid $807K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoORTHOPEDIC ASSOCIATES OF PORT HURON PC
PORT HURON, MI 48060
33aNPI1255341566assigned 08/09/2006
33bProvider typeRheumatology Physician
28Total paid$807K
24GClaims25,353
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Rheumatology Physician providers in Michigan

Rank by total paid#3 of 39
Median peer was paid$37K
This provider vs. median22×

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$10K$20K$30K2018201920202021202220232024
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
20185,861$200K
20196,647$228K
20203,415$94K
20213,178$83K
20222,245$73K
20232,470$75K
2024incomplete1,537$55K
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 46% 9,997 8,769 $368K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26% 3,983 3,861 $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 9.3% 1,454 1,336 $75K
73110 2.7% 1,136 940 $21K
20610 2.4% 773 701 $19K
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 1.8% 190 178 $15K
73564 1.6% 597 514 $13K
J1030 Injection, methylprednisolone acetate, 40 mg 1.4% 1,595 1,533 $11K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1.2% 83 77 $10K
73610 1.2% 562 499 $10K
73630 1.1% 576 497 $9K
20611 1.1% 294 233 $9K
16 more codes
73120 1.1% 592 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 230 $6K
73030 <1% 337 $5K
73562 <1% 219 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 988 $3K
29075 <1% 53 $2K
73100 <1% 141 $2K
95886 <1% 25 $2K
73502 <1% 87 $2K
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass <1% 55 $712.43
73070 <1% 42 $593.22
20526 <1% 12 $522.96
20550 <1% 13 $422.33
73600 <1% 16 $299.32
72100 <1% 12 $235.32
99072 0% 1,291 $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 officialKREIS, WILMONT (GENERAL PARTNER)