Direct Orthopedic Care LLC

Direct Orthopedic Care LLC was paid $103K by Medicaid between Feb 2018 and Aug 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoDIRECT ORTHOPEDIC CARE LLC
BOISE, ID 83704

33aNPI1356769434assigned 04/04/2014

33bProvider typeOrthopaedic Surgery Physician

28Total paid$103K

24GClaims1,360

24DCodes billed3

24AFirst – last monthFeb 2018 – Aug 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Idaho

Rank by total paid#4 of 17

Median peer was paid$8K

This provider vs. median13×

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	155	$11K
2019	68	$5K
2020	378	$26K
2021	514	$40K
2022	178	$15K
2023	54	$6K
2024incomplete	13	$505.93

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	50%	627	560	$51K
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	30%	326	315	$31K
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%	407	368	$20K

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 officialHAMILTON, JENNY (BILLING OFFICE MANAGER)