Elmer Orthopaedics, PA
Elmer Orthopaedics, PA was paid $6K by Medicaid between Jan 2018 and Jan 2023, across 5 billing codes. Its largest line is 20610, — 69% of everything it billed.
33Billing provider infoELMER ORTHOPAEDICS, PA
PLEASANTON, TX 78064
PLEASANTON, TX 78064
33aNPI1265576250assigned 02/16/2007
33bProvider typeSpecialist
28Total paid$6K
24GClaims725
24DCodes billed5
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#252 of 382
Median peer was paid$29K
This provider vs. median0.2×
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 | 351 | $2K | |
| 2019 | 224 | $3K | |
| 2020 | 47 | $69.19 | |
| 2021 | 19 | $0.00 | |
| 2022 | 54 | $36.38 | |
| 2023 | 30 | $433.17 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 20610 | 69% | 511 | 365 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 21% | 149 | 139 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 13 | 13 | $640.07 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 39 | 37 | $13.18 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 13 | 13 | $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 officialELMER, EDWARD (OWNER)