Physician
Arthritis and Rheumatology Consultants, PA
Arthritis and Rheumatology Consultants, PA was paid $686K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoARTHRITIS AND RHEUMATOLOGY CONSULTANTS, PA
EDINA, MN 55435
EDINA, MN 55435
33aNPI1447366919assigned 08/21/2006
33bProvider typeRheumatology Physician
28Total paid$686K
24GClaims56,772
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rheumatology Physician providers in Minnesota
Rank by total paid#2 of 6
Median peer was paid$14K
This provider vs. median50×
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 | 8,434 | $16K | |
| 2019 | 8,152 | $93K | |
| 2020 | 8,492 | $113K | |
| 2021 | 10,654 | $160K | |
| 2022 | 8,262 | $119K | |
| 2023 | 7,112 | $101K | |
| 2024incomplete | 5,666 | $84K |
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 | 55% | 5,827 | 5,563 | $374K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 8.5% | 643 | 601 | $58K |
| 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 | 5.0% | 330 | 323 | $35K |
| 36415 | Collection of venous blood by venipuncture | 4.0% | 8,520 | 8,125 | $28K |
| 84450 | 3.8% | 6,511 | 6,258 | $26K | |
| 82565 | 3.8% | 6,492 | 6,239 | $26K | |
| 84460 | 3.5% | 5,826 | 5,598 | $24K | |
| 82040 | 3.2% | 5,637 | 5,419 | $22K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.2% | 3,476 | 3,349 | $22K |
| 86140 | 2.9% | 4,782 | 4,607 | $20K | |
| 99000 | 2.2% | 1,262 | 1,193 | $15K | |
| 85651 | 1.7% | 3,528 | 3,388 | $11K |
12 more codes
| 85027 | 1.3% | 1,726 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 173 | $5K |
| 86235 | <1% | 28 | $3K | |
| 85652 | <1% | 811 | $2K | |
| 83516 | <1% | 83 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 304 | $1K |
| 96415 | <1% | 43 | $825.69 | |
| 86200 | <1% | 58 | $778.74 | |
| 86431 | <1% | 83 | $451.17 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 573 | $443.84 |
| 86225 | <1% | 28 | $363.74 | |
| 86226 | <1% | 28 | $320.64 |
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 officialSTAROSTA, ROBERT (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Suburban Radiologic Consultants, LTD. | Roseville, MN | $1.37M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.