Physician
Shoreline Orthopaedic & Sports Medicine Clinic,plc
Shoreline Orthopaedic & Sports Medicine Clinic,plc was paid $900K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 24% of everything it billed.
33Billing provider infoSHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC,PLC
HOLLAND, MI 49424
HOLLAND, MI 49424
33aNPI1275579765assigned 06/21/2006
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$900K
24GClaims21,954
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Hand Surgery Physician providers in Michigan
Rank by total paid#3 of 7
Median peer was paid$514K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2018 | 2,282 | $70K | |
| 2019 | 2,167 | $74K | |
| 2020 | 2,106 | $75K | |
| 2021 | 3,231 | $136K | |
| 2022 | 4,022 | $176K | |
| 2023 | 4,527 | $191K | |
| 2024incomplete | 3,619 | $178K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 3,967 | 3,891 | $215K |
| 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 | 21% | 2,195 | 2,174 | $187K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 4,317 | 4,095 | $172K |
| 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 | 18% | 2,863 | 2,740 | $166K |
| 20610 | 4.0% | 1,679 | 1,542 | $36K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 821 | 788 | $19K |
| 73610 | 2.1% | 984 | 885 | $19K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 2.1% | 1,555 | 1,507 | $18K |
| 73100 | 1.7% | 862 | 634 | $15K | |
| 73630 | 1.3% | 633 | 590 | $12K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 217 | 208 | $8K |
| 73140 | <1% | 367 | 279 | $7K |
14 more codes
| Q4050 | Cast supplies, for unlisted types and materials of casts | <1% | 380 | $5K |
| 73030 | <1% | 335 | $5K | |
| 95886 | <1% | 72 | $4K | |
| 73564 | <1% | 113 | $2K | |
| 73562 | <1% | 103 | $2K | |
| 73130 | <1% | 101 | $2K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 223 | $2K |
| 73110 | <1% | 54 | $1K | |
| 73502 | <1% | 25 | $584.15 | |
| 20550 | <1% | 16 | $352.20 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 33 | $226.15 |
| 73620 | <1% | 13 | $183.87 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 14 | $133.05 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 12 | $9.58 |
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 officialSCHILDHOUSE, TRICIA (PRACTICE MANAGER)