Physician
Tooele Orthopedics & Sports Medicine Specialists
Tooele Orthopedics & Sports Medicine Specialists was paid $122K by Medicaid between Aug 2019 and Jan 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoTOOELE ORTHOPEDICS & SPORTS MEDICINE SPECIALISTS
TOOELE, UT 84074
TOOELE, UT 84074
33aNPI1467581173assigned 03/06/2007
33bProvider typeOrthopaedic Surgery Physician
28Total paid$122K
24GClaims1,981
24DCodes billed5
24AFirst – last monthAug 2019 – Jan 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Utah
Rank by total paid#5 of 31
Median peer was paid$15K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2019 | 67 | $4K | |
| 2020 | 335 | $25K | |
| 2021 | 634 | $37K | |
| 2022 | 799 | $48K | |
| 2023 | 132 | $7K | |
| 2024incomplete | 14 | $951.89 |
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 | 80% | 1,222 | 989 | $97K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 212 | 173 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 63 | 59 | $8K |
| 20610 | <1% | 155 | 97 | $949.00 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 329 | 285 | $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 officialDOUGLAS, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Tri-County Health Department | Greenwood Village, CO | $430K |
| Tupelo Anesthesia Group PA | Tupelo, MS | $355K |
| Massapequa PT & Pta PLLC | N Massapequa, NY | $270K |
| Lindenhurst PT & Pta PLLC | N Massapequa, NY | $183K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.