Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FAYETTEVILLE ORTHOPAEDIC CLINIC, PA

NPI: 1417919390 · FAYETTEVILLE, NC 28304 · Orthopaedic Surgery Physician · NPI assigned 04/05/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOHNSON, JAMES controls 14+ related entities in our dataset. Read more

$714K
Total Medicaid Paid
36,998
Total Claims
28,864
Beneficiaries
32
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialJOHNSON, JAMES (PRACTICE ADMINISTRATOR)
NPI Enumeration Date04/05/2006

Related Entities

Other providers sharing the same authorized official: JOHNSON, JAMES

ProviderCityStateTotal Paid
SUNFLOWER DIVERSIFIED SERVICES GREAT BEND KS $28.95M
S.T.E.P'S DEVELOPMENTAL ACADEMY, INC. CHARLOTTE NC $25.04M
INDEPENDENT OPPORTUNITIES, INC CONCORD NC $22.09M
LIFE EMERGENCY MEDICAL SERVICE, INC. ENID OK $1.71M
CAYUGA EMERGENCY PHYSICIANS, LLP ITHACA NY $1.26M
SAMARITAN EMERGENCY PHYSICIANS, LLP ASHLAND OH $638K
JJS OPTICAL LLC SAINT PAUL MN $267K
NORTHERN MICHIGAN EMERGENCY PHYSICIANS, LLP WEST BRANCH MI $127K
CAYUGA EMERGENCY PHYSICIANS, LLP ITHACA NY $80K
NORTHERN OHIO EMERGENCY PHYSICIANS LLP MASSILLON OH $52K
MOUNTAIN EMERGENCY PHYSICIANS LLP CHARLESTON WV $6K
CAYUGA EMERGENCY PHYSICIANS, LLP CORTLAND NY $3K
MODERN THERAPY & GAS LLC LANCASTER KY $627.15
DR. JAMES K. JOHNSON JR. BALTIMORE MD $276.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,771 8,746 $401K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,182 2,025 $148K
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg 154 116 $53K
20610 1,724 1,222 $41K
73564 1,085 801 $21K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 425 356 $19K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 93 68 $7K
73110 320 252 $5K
J1030 Injection, methylprednisolone acetate, 40 mg 964 877 $4K
73130 196 145 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 138 120 $2K
29075 45 36 $2K
73610 116 82 $2K
73030 125 93 $2K
73630 85 66 $1K
73502 54 36 $648.32
73562 44 36 $618.34
73140 15 12 $174.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 94 91 $102.10
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,078 1,129 $88.14
G8783 Normal blood pressure reading documented, follow-up not required 2,539 2,328 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,781 3,399 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,097 1,001 $0.00
4004F 107 101 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 855 813 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,927 777 $0.00
1036F 2,663 2,411 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,464 1,315 $0.00
97016 502 184 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 62 25 $0.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 129 47 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 164 154 $0.00