Supplier
Midlands Orthopaedics and Neurosurgery, PA
Midlands Orthopaedics and Neurosurgery, PA was paid $403K by Medicaid between Jan 2018 and May 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoMIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
COLUMBIA, SC 29201
COLUMBIA, SC 29201
33aNPI1447235106assigned 12/14/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$403K
24GClaims9,708
24DCodes billed14
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in South Carolina
Rank by total paid#59 of 160
Median peer was paid$125K
This provider vs. median3.2×
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 | 4,029 | $158K | |
| 2019 | 3,174 | $127K | |
| 2020 | 1,853 | $86K | |
| 2021 | 311 | $16K | |
| 2022 | 253 | $12K | |
| 2023 | 88 | $4K |
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 | 69% | 6,237 | 5,472 | $277K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.4% | 546 | 537 | $38K |
| 72082 | 5.7% | 675 | 634 | $23K | |
| 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 | 4.4% | 172 | 168 | $18K |
| A4590 | Special casting material (e.g., fiberglass) | 3.5% | 515 | 405 | $14K |
| 72170 | 3.5% | 829 | 700 | $14K | |
| 72081 | 1.4% | 235 | 223 | $5K | |
| 73630 | 1.2% | 236 | 179 | $5K | |
| 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% | 56 | 51 | $3K |
| 73562 | <1% | 89 | 71 | $2K | |
| 77073 | <1% | 43 | 43 | $1K | |
| 73610 | <1% | 37 | 31 | $746.49 |
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 officialSOOTER, KAREN (CREDENTIALING COORDINATOR)