Physician
Performance Orthopaedics & Sports Medicine, LLC
Performance Orthopaedics & Sports Medicine, LLC was paid $1.93M by Medicaid between Feb 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoPERFORMANCE ORTHOPAEDICS & SPORTS MEDICINE, LLC
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
33aNPI1326282088assigned 04/26/2009
33bProvider typeSports Medicine (Orthopaedic Surgery) Physician
28Total paid$1.93M
24GClaims26,843
24DCodes billed38
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in New Jersey
Rank by total paid#1 of 9
Median peer was paid$32K
This provider vs. median61×
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 | 1,218 | $118K | |
| 2019 | 808 | $82K | |
| 2020 | 340 | $31K | |
| 2021 | 765 | $63K | |
| 2022 | 5,745 | $405K | |
| 2023 | 10,749 | $681K | |
| 2024incomplete | 7,218 | $553K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 4,080 | 3,898 | $444K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 5,357 | 5,077 | $395K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 3,057 | 2,948 | $337K |
| 20611 | 8.4% | 1,919 | 1,360 | $163K | |
| 99458 | 5.6% | 1,114 | 1,036 | $109K | |
| 99243 | 3.8% | 552 | 550 | $73K | |
| 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 | 2.9% | 344 | 328 | $55K |
| 99457 | 2.7% | 1,188 | 1,109 | $52K | |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 2.2% | 129 | 65 | $43K |
| 73562 | 2.1% | 1,079 | 885 | $41K | |
| 99454 | 1.8% | 583 | 558 | $35K | |
| 73564 | 1.4% | 608 | 491 | $27K |
26 more codes
| 73030 | 1.2% | 766 | $24K | |
| 98977 | <1% | 277 | $18K | |
| J3303 | Injection, triamcinolone hexacetonide, per 5 mg | <1% | 1,012 | $18K |
| 73502 | <1% | 381 | $17K | |
| 72100 | <1% | 453 | $17K | |
| 72040 | <1% | 417 | $16K | |
| 73610 | <1% | 379 | $13K | |
| 73130 | <1% | 342 | $12K | |
| 73110 | <1% | 215 | $8K | |
| 76942 | <1% | 43 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $2K |
| 99453 | <1% | 78 | $2K | |
| 77089 | <1% | 65 | $2K | |
| 73565 | <1% | 47 | $2K | |
| 77085 | <1% | 59 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 259 | $978.78 |
| 72110 | <1% | 13 | $697.57 | |
| 99406 | <1% | 68 | $653.27 | |
| 98975 | <1% | 27 | $633.04 | |
| 73080 | <1% | 15 | $561.49 | |
| 73630 | <1% | 16 | $560.30 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $369.62 |
| 99024 | <1% | 1,063 | $29.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 388 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 242 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 176 | $0.00 |
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 officialDICKERSON, DAVID (OWNER)