Physician
Total Orthopedic Care INC
Total Orthopedic Care INC was paid $14K by Medicaid between Jan 2018 and Oct 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.
33Billing provider infoTOTAL ORTHOPEDIC CARE INC
FALMOUTH, MA 02540
FALMOUTH, MA 02540
33aNPI1396750741assigned 07/31/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$14K
24GClaims370
24DCodes billed2
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Massachusetts
Rank by total paid#73 of 166
Median peer was paid$10K
This provider vs. median1.5×
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 | 67 | $3K | |
| 2019 | 153 | $5K | |
| 2020 | 150 | $6K |
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 | 95% | 355 | 327 | $14K |
| 20610 | 4.5% | 15 | 12 | $651.01 |
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 officialDIMOND, PAUL (PHYSICIAN OWNER)