Physician
Metro Orthopedics & Sports Therapy
Metro Orthopedics & Sports Therapy was paid $205K by Medicaid between Mar 2021 and Nov 2023, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoMETRO ORTHOPEDICS & SPORTS THERAPY
POTOMAC, MD 20854
POTOMAC, MD 20854
33aNPI1346427564assigned 01/30/2008
33bProvider typeOrthopaedic Surgery Physician
28Total paid$205K
24GClaims3,868
24DCodes billed10
24AFirst – last monthMar 2021 – Nov 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Maryland
Rank by total paid#14 of 55
Median peer was paid$77K
This provider vs. median2.7×
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 | 460 | $31K | |
| 2022 | 863 | $55K | |
| 2023 | 2,545 | $120K |
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 | 26% | 461 | 390 | $54K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 20% | 1,071 | 292 | $40K |
| 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 | 17% | 220 | 210 | $34K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 11% | 1,236 | 336 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 273 | 235 | $23K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.9% | 146 | 132 | $14K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 5.1% | 313 | 90 | $11K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.9% | 113 | 25 | $4K |
| 97161 | <1% | 18 | 14 | $1K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 17 | 13 | $307.35 |
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 officialGILBERT, JAMES (PRESIDENT)