Specialty Orthopaedics, P.C.
Specialty Orthopaedics, P.C. was paid $6K by Medicaid between Jan 2018 and Dec 2021, across 6 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 43% of everything it billed.
33Billing provider infoSPECIALTY ORTHOPAEDICS, P.C.
HERMITAGE, PA 16148
HERMITAGE, PA 16148
33aNPI1275584161assigned 05/15/2006
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$6K
24GClaims2,775
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Pennsylvania
Rank by total paid#96 of 233
Median peer was paid$3K
This provider vs. median1.9×
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 | 959 | $4K | |
| 2019 | 1,649 | $2K | |
| 2020 | 21 | $3.75 | |
| 2021 | 146 | $365.32 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 43% | 1,534 | 366 | $3K |
| 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 | 21% | 430 | 386 | $1K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 20% | 460 | 118 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.2% | 42 | 36 | $578.83 |
| 97014 | 6.4% | 170 | 39 | $399.10 | |
| 99072 | <1% | 139 | 78 | $3.75 |
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 officialPISTON, ROBERT (PRESIDENT CEO)