Pivotal Foot and Ankle Surgeons LLC

Pivotal Foot and Ankle Surgeons LLC was paid $17K by Medicaid between Jun 2023 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoPIVOTAL FOOT AND ANKLE SURGEONS LLC
SAINT JOSEPH, MO 64506

33aNPI1356958276assigned 09/24/2020

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$17K

24GClaims797

24DCodes billed9

24AFirst – last monthJun 2023 – Nov 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Missouri

Rank by total paid#127 of 252

Median peer was paid$17K

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
2023	57	$345.32
2024incomplete	740	$17K

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	40%	119	76	$7K
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%	100	81	$3K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	16%	57	24	$3K
11721		9.8%	294	234	$2K
11056		7.7%	127	101	$1K
73630		2.6%	37	25	$453.35
99305		2.3%	26	17	$395.69
99308	Subsequent nursing facility care, per day, straightforward	<1%	16	16	$140.25
99307		<1%	21	15	$118.88

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 officialGRIMES, RUSSELL (DPM)