First State Orthopaedics PA
First State Orthopaedics PA was paid $5.99M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoFIRST STATE ORTHOPAEDICS PA
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1346220266assigned 01/18/2006
33bProvider typeSpecialist
28Total paid$5.99M
24GClaims215,197
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Delaware
Rank by total paid#2 of 27
Median peer was paid$103K
This provider vs. median58×
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 | 46,510 | $76K | |
| 2019 | 40,853 | $594K | |
| 2020 | 30,858 | $1.00M | |
| 2021 | 27,700 | $1.07M | |
| 2022 | 28,973 | $1.25M | |
| 2023 | 25,921 | $1.23M | |
| 2024incomplete | 14,382 | $771K |
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 | 25% | 52,382 | 32,536 | $1.52M |
| 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 | 18% | 24,444 | 15,802 | $1.10M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 21,175 | 13,421 | $858K |
| 20610 | 9.1% | 23,803 | 13,004 | $546K | |
| 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 | 7.3% | 4,873 | 3,774 | $436K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 4.1% | 1,474 | 1,425 | $248K |
| 64483 | 2.1% | 1,202 | 892 | $125K | |
| 73562 | 1.7% | 6,917 | 4,432 | $101K | |
| 73564 | 1.4% | 4,454 | 2,885 | $86K | |
| 73630 | 1.4% | 5,812 | 3,612 | $83K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 1.3% | 431 | 420 | $78K |
| 73030 | 1.3% | 6,750 | 4,085 | $76K |
40 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 4,105 | $76K |
| 73130 | <1% | 4,217 | $56K | |
| 73110 | <1% | 3,677 | $50K | |
| 73610 | <1% | 3,593 | $49K | |
| 73502 | <1% | 3,430 | $45K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,387 | $39K |
| 72100 | <1% | 1,664 | $39K | |
| 27447 | <1% | 107 | $36K | |
| 73221 | <1% | 191 | $33K | |
| 20605 | <1% | 1,668 | $30K | |
| 73560 | <1% | 2,819 | $27K | |
| 72110 | <1% | 825 | $26K | |
| 73140 | <1% | 2,078 | $25K | |
| 72040 | <1% | 968 | $25K | |
| 72141 | <1% | 148 | $24K | |
| 27130 | <1% | 42 | $24K | |
| 73600 | <1% | 1,446 | $21K | |
| 20550 | <1% | 712 | $19K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 509 | $19K |
| 64721 | <1% | 100 | $17K | |
| 20600 | <1% | 781 | $13K | |
| 72050 | <1% | 335 | $10K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 22,780 | $10K |
| 64479 | <1% | 44 | $5K | |
| 73070 | <1% | 339 | $5K | |
| 64493 | <1% | 26 | $3K | |
| 73552 | <1% | 263 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $1K |
| 73521 | <1% | 66 | $1K | |
| 29826 | <1% | 38 | $888.35 | |
| 73080 | <1% | 35 | $749.96 | |
| 99442 | <1% | 70 | $708.17 | |
| 73590 | <1% | 165 | $615.61 | |
| 72202 | <1% | 30 | $604.13 | |
| 20551 | <1% | 34 | $329.05 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 71 | $294.82 |
| 76000 | <1% | 22 | $210.35 | |
| 99441 | <1% | 44 | $153.65 | |
| 11721 | <1% | 13 | $140.88 | |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 1,623 | $41.48 |
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 officialBLAEUER, DAVID (EXECUTIVE DIRECTOR)