Somers Orthopaedic Surgery & Sports Medicine Group PLLC
Somers Orthopaedic Surgery & Sports Medicine Group PLLC was paid $68K by Medicaid between Aug 2020 and Jul 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoSOMERS ORTHOPAEDIC SURGERY & SPORTS MEDICINE GROUP PLLC
DANBURY, CT 06810
DANBURY, CT 06810
33aNPI1427533959assigned 10/01/2018
33bProvider typePodiatrist
28Total paid$68K
24GClaims2,465
24DCodes billed9
24AFirst – last monthAug 2020 – Jul 2024
Compared with peers
Next to other Podiatrist providers in Connecticut
Rank by total paid#16 of 73
Median peer was paid$7K
This provider vs. median9.8×
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 | |
|---|---|---|---|
| 2020 | 200 | $2K | |
| 2021 | 499 | $8K | |
| 2022 | 580 | $22K | |
| 2023 | 746 | $23K | |
| 2024incomplete | 440 | $14K |
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 | 53% | 949 | 713 | $36K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 973 | 766 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.9% | 88 | 67 | $4K |
| 20611 | 2.8% | 50 | 38 | $2K | |
| 73560 | <1% | 15 | 13 | $216.56 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | 12 | $51.02 |
| 80305 | <1% | 13 | 12 | $7.55 | |
| 99024 | 0% | 19 | 15 | $0.00 | |
| 99072 | 0% | 343 | 269 | $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 officialBUCHALTER, JOEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Somers Orthopaedic Surgery & Sports Medicine Group PLLC | Carmel, NY | $96K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.