Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Premier Orthopaedic Bone & Joint Care

Premier Orthopaedic Bone & Joint Care was paid $506K by Medicaid between Jan 2018 and Mar 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoPREMIER ORTHOPAEDIC BONE & JOINT CARE
MILFORD, DE 19963
33aNPI1417251257assigned 01/10/2011
28Total paid$506K
24GClaims18,652
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Delaware

Rank by total paid#1 of 5
Median peer was paid$3K
This provider vs. median163×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,493$17K
20193,853$62K
20203,093$133K
20213,002$111K
20222,956$97K
20233,905$72K
2024incomplete350$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45% 6,766 5,250 $226K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24% 2,414 1,896 $121K
20610 19% 3,430 1,879 $94K
73560 4.1% 1,981 1,125 $21K
73565 2.8% 1,151 783 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.7% 549 454 $14K
J1030 Injection, methylprednisolone acetate, 40 mg 1.2% 1,573 1,235 $6K
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 <1% 45 40 $4K
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 <1% 15 12 $2K
95886 <1% 13 12 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 413 328 $1K
20611 <1% 15 12 $1K
6 more codes
73562 <1% 52 $551.71
73502 <1% 60 $454.85
73030 <1% 14 $304.00
72100 <1% 16 $261.61
99024 0% 127 $0.00
0011A 0% 18 $0.00

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 officialCHOY, WILSON (OWNER/PHYSICIAN)