Physician
Fayetteville Orthopaedic Clinic, PA
Fayetteville Orthopaedic Clinic, PA was paid $714K by Medicaid between Jan 2018 and Jun 2023, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoFAYETTEVILLE ORTHOPAEDIC CLINIC, PA
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1417919390assigned 04/05/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$714K
24GClaims36,998
24DCodes billed32
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in North Carolina
Rank by total paid#4 of 66
Median peer was paid$19K
This provider vs. median38×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JOHNSON, JAMES controls 14+ related entities in our dataset. Read more
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 | 8,382 | $120K | |
| 2019 | 9,370 | $121K | |
| 2020 | 6,604 | $109K | |
| 2021 | 3,657 | $124K | |
| 2022 | 5,259 | $151K | |
| 2023 | 3,726 | $89K |
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 | 56% | 10,771 | 8,746 | $401K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 2,182 | 2,025 | $148K |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 7.5% | 154 | 116 | $53K |
| 20610 | 5.7% | 1,724 | 1,222 | $41K | |
| 73564 | 3.0% | 1,085 | 801 | $21K | |
| 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 | 2.7% | 425 | 356 | $19K |
| 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% | 93 | 68 | $7K |
| 73110 | <1% | 320 | 252 | $5K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 964 | 877 | $4K |
| 73130 | <1% | 196 | 145 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 138 | 120 | $2K |
| 29075 | <1% | 45 | 36 | $2K |
20 more codes
| 73610 | <1% | 116 | $2K | |
| 73030 | <1% | 125 | $2K | |
| 73630 | <1% | 85 | $1K | |
| 73502 | <1% | 54 | $648.32 | |
| 73562 | <1% | 44 | $618.34 | |
| 73140 | <1% | 15 | $174.80 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 94 | $102.10 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 3,078 | $88.14 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,539 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,781 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,097 | $0.00 |
| 4004F | 0% | 107 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 855 | $0.00 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 1,927 | $0.00 |
| 1036F | 0% | 2,663 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,464 | $0.00 |
| 97016 | 0% | 502 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 62 | $0.00 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 129 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 164 | $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 officialJOHNSON, JAMES (PRACTICE ADMINISTRATOR)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.