Physician
New England Sports Orthopedics Spine & Rehabilitation LLC
New England Sports Orthopedics Spine & Rehabilitation LLC was paid $255K by Medicaid between Jan 2018 and Mar 2020, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoNEW ENGLAND SPORTS ORTHOPEDICS SPINE & REHABILITATION LLC
LUDLOW, MA 01056
LUDLOW, MA 01056
33aNPI1437595600assigned 05/15/2013
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$255K
24GClaims12,326
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Massachusetts
Rank by total paid#12 of 63
Median peer was paid$20K
This provider vs. median12×
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 | 4,607 | $119K | |
| 2019 | 6,090 | $105K | |
| 2020 | 1,629 | $30K |
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 | 42% | 2,367 | 2,155 | $108K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 2,629 | 2,388 | $75K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 17% | 1,968 | 1,803 | $44K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 4.0% | 356 | 217 | $10K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 3.8% | 356 | 217 | $10K |
| 93000 | <1% | 384 | 229 | $2K | |
| 80305 | <1% | 469 | 400 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 98 | 95 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 615 | 539 | $1K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 113 | 82 | $860.79 |
| 20610 | <1% | 28 | 24 | $575.38 | |
| 72110 | <1% | 18 | 12 | $235.42 |
4 more codes
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 59 | $21.35 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 206 | $1.80 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,340 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 1,320 | $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 officialTANNER, WENDY (CONTRACT MANAGER)