Physician
Highline Orthopaedics
Highline Orthopaedics was paid $743K by Medicaid between May 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoHIGHLINE ORTHOPAEDICS
NEW YORK, NY 10007
NEW YORK, NY 10007
33aNPI1255787743assigned 05/13/2016
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$743K
24GClaims8,766
24DCodes billed14
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Hand Surgery Physician providers in New York
Rank by total paid#3 of 37
Median peer was paid$4K
This provider vs. median207×
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 | |
|---|---|---|---|
| 2018 | 345 | $25K | |
| 2019 | 713 | $48K | |
| 2020 | 821 | $70K | |
| 2021 | 2,598 | $199K | |
| 2022 | 2,220 | $195K | |
| 2023 | 982 | $99K | |
| 2024incomplete | 1,087 | $107K |
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 | 39% | 3,599 | 2,039 | $287K |
| 95910 | 17% | 986 | 920 | $129K | |
| 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 | 12% | 1,979 | 1,109 | $92K |
| 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 | 8.2% | 423 | 423 | $61K |
| 95886 | 8.0% | 982 | 916 | $59K | |
| 64483 | 4.4% | 223 | 151 | $32K | |
| 64493 | 3.5% | 121 | 84 | $26K | |
| 64484 | 2.0% | 223 | 151 | $15K | |
| 64494 | 1.8% | 120 | 83 | $13K | |
| L0642 | Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 1.2% | 25 | 25 | $9K |
| 64635 | 1.2% | 23 | 16 | $9K | |
| L0627 | Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 1.0% | 27 | 26 | $8K |
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 officialMANCUSO, ROBERTO (OWNER)