Medicaid Provider Spending

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

METRO ORTHOPEDICS & SPORTS THERAPY

NPI: 1346427564 · POTOMAC, MD 20854 · Orthopaedic Surgery Physician · NPI assigned 01/30/2008

$205K
Total Medicaid Paid
3,868
Total Claims
1,737
Beneficiaries
10
Codes Billed
2021-03
First Month
2023-11
Last Month

Provider Details

Authorized OfficialGILBERT, JAMES (PRESIDENT)
NPI Enumeration Date01/30/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 460 $31K
2022 863 $55K
2023 2,545 $120K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 461 390 $54K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,071 292 $40K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 220 210 $34K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,236 336 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 273 235 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 146 132 $14K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 313 90 $11K
97530 Therapeutic activities, direct patient contact, each 15 minutes 113 25 $4K
97161 18 14 $1K
97535 Self-care/home management training, each 15 minutes 17 13 $307.35