Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMIT ORTHOPEDICS, LTD

NPI: 1306899463 · WOODBURY, MN 55125 · Orthopedic Physical Therapist · NPI assigned 05/18/2006

$6.72M
Total Medicaid Paid
202,720
Total Claims
146,797
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIEN, JOHN (CFO)
NPI Enumeration Date05/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,458 $382K
2019 40,825 $1.56M
2020 30,654 $1.25M
2021 43,349 $1.78M
2022 27,625 $1.18M
2023 9,410 $365K
2024 4,399 $199K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29,577 24,631 $1.33M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30,940 27,212 $1.31M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 47,580 18,344 $1.08M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16,316 15,115 $797K
20610 9,375 8,160 $258K
97161 5,064 4,820 $254K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 13,069 5,527 $240K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,803 1,726 $171K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,838 1,696 $155K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,941 2,754 $96K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 466 443 $95K
64483 1,354 1,285 $91K
73564 3,197 2,354 $69K
73630 3,654 2,882 $65K
73110 3,345 2,613 $64K
73610 3,531 2,925 $63K
95886 647 627 $56K
73030 3,449 2,891 $55K
73562 3,016 2,417 $52K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,367 695 $40K
99215 Prolong outpt/office vis 882 779 $36K
J1040 Injection, methylprednisolone acetate, 80 mg 6,220 5,579 $35K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 706 681 $31K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 352 348 $28K
20611 453 432 $28K
73502 1,245 1,154 $26K
73130 1,510 1,169 $25K
73221 248 235 $25K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 424 347 $22K
97535 Self-care/home management training, each 15 minutes 592 530 $14K
72100 691 660 $13K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 191 179 $12K
73140 669 566 $11K
64493 169 154 $10K
97035 986 434 $8K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg 12 12 $8K
20550 374 311 $8K
29075 132 117 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,677 2,549 $5K
95909 36 34 $3K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf 26 24 $2K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 42 40 $2K
73080 104 87 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 384 370 $2K
95911 13 13 $2K
72040 53 52 $1K
64494 38 26 $1K
72141 14 13 $1K
72110 37 36 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 25 13 $803.00
73600 50 30 $797.45
77002 13 12 $601.34
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 29 24 $577.60
20605 12 12 $459.64
73620 26 12 $310.22
97162 14 14 $63.56
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12 12 $43.52
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 107 93 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 237 200 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 123 106 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 247 208 $0.00
A4467 Belt, strap, sleeve, garment, or covering, any type 16 13 $0.00