Northen Orthopedic

Northen Orthopedic was paid $89K by Medicaid between Jan 2018 and Oct 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider infoNORTHEN ORTHOPEDIC
DORADO, PR 00646

33aNPI1467668715assigned 05/15/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$89K

24GClaims1,930

24DCodes billed2

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Puerto Rico

Rank by total paid#37 of 61

Median peer was paid$122K

This provider vs. median0.7×

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	215	$4K
2019	208	$4K
2020	184	$6K
2021	370	$14K
2022	291	$12K
2023	275	$16K
2024incomplete	387	$34K

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	89%	1,767	1,634	$79K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	163	143	$10K

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 officialRIOS FUENTES, JUAN (PRESIDENTE)