Physician
Texas Institute of Musculoskeletal Excellence in Orthopedics PLLC
Texas Institute of Musculoskeletal Excellence in Orthopedics PLLC was paid $17K by Medicaid between Jan 2024 and Nov 2024, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 61% of everything it billed.
33Billing provider infoTEXAS INSTITUTE OF MUSCULOSKELETAL EXCELLENCE IN ORTHOPEDICS PLLC
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1295314995assigned 04/08/2021
33bProvider typeOrthopaedic Surgery Physician
28Total paid$17K
24GClaims412
24DCodes billed3
24AFirst – last monthJan 2024 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Texas
Rank by total paid#45 of 105
Median peer was paid$11K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2024incomplete | 412 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 180 | 173 | $10K |
| 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 | 23% | 108 | 97 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 124 | 119 | $3K |
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 officialPOTTY, ANISH (OWNER)