Orthopedic Associates of Middletown, PC
Orthopedic Associates of Middletown, PC was paid $204K by Medicaid between Jan 2018 and May 2021, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
33aNPI1306054309assigned 05/21/2007
33bProvider typePodiatrist
28Total paid$204K
24GClaims16,123
24DCodes billed21
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Podiatrist providers in Connecticut
Rank by total paid#7 of 73
Median peer was paid$7K
This provider vs. median29×
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 | 3,722 | $51K | |
| 2019 | 4,712 | $78K | |
| 2020 | 5,931 | $53K | |
| 2021 | 1,758 | $23K |
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 | 51% | 6,284 | 4,952 | $104K |
| 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 | 37% | 6,494 | 3,409 | $75K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 197 | 180 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 371 | 332 | $6K |
| 73630 | 1.4% | 491 | 270 | $3K | |
| 96127 | 1.3% | 519 | 237 | $3K | |
| 64483 | <1% | 24 | 14 | $1K | |
| 20611 | <1% | 209 | 121 | $1K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 274 | 204 | $1K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 322 | 254 | $619.99 |
| 76942 | <1% | 123 | 39 | $511.56 | |
| 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 | <1% | 18 | 12 | $460.77 |
9 more codes
| 72100 | <1% | 29 | $326.54 | |
| 73610 | <1% | 33 | $307.74 | |
| 20552 | <1% | 26 | $114.96 | |
| 20553 | <1% | 130 | $79.45 | |
| 73562 | <1% | 17 | $44.50 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 157 | $26.46 |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | <1% | 19 | $4.71 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 22 | $0.66 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 364 | $0.06 |
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 officialNEAL, DANIEL (PRACTICE ADMINISTRATOR)