Physician
New York Metropolitan Orthopaedics and Spine, LLC
New York Metropolitan Orthopaedics and Spine, LLC was paid $32K by Medicaid between Sep 2021 and Aug 2024, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 43% of everything it billed.
33Billing provider infoNEW YORK METROPOLITAN ORTHOPAEDICS AND SPINE, LLC
NORTH BERGEN, NJ 07047
NORTH BERGEN, NJ 07047
33aNPI1326714148assigned 08/20/2021
33bProvider typeSports Medicine (Orthopaedic Surgery) Physician
28Total paid$32K
24GClaims839
24DCodes billed4
24AFirst – last monthSep 2021 – Aug 2024
Compared with peers
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in New Jersey
Rank by total paid#4 of 9
Median peer was paid$32K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2021 | 33 | $0.00 | |
| 2022 | 133 | $7K | |
| 2023 | 624 | $24K | |
| 2024incomplete | 49 | $745.55 |
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 | 43% | 242 | 222 | $14K |
| 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 | 32% | 321 | 264 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 116 | 106 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 160 | 139 | $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 officialKOVACEVIC, DAVID (MD/OWNER)