Physician
Monvale Orthopedics, INC.
Monvale Orthopedics, INC. was paid $34K by Medicaid between Nov 2020 and Oct 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoMONVALE ORTHOPEDICS, INC.
ROSTRAVER TOWNSHIP, PA 15012
ROSTRAVER TOWNSHIP, PA 15012
33aNPI1487677498assigned 07/25/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$34K
24GClaims1,329
24DCodes billed10
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Pennsylvania
Rank by total paid#63 of 291
Median peer was paid$7K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2020 | 98 | $3K | |
| 2021 | 939 | $27K | |
| 2022 | 188 | $2K | |
| 2023 | 71 | $1K | |
| 2024incomplete | 33 | $1K |
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 | 39% | 418 | 386 | $13K |
| 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 | 26% | 162 | 156 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 92 | 87 | $5K |
| 20610 | 5.2% | 89 | 65 | $2K | |
| 73560 | 5.2% | 60 | 43 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 3.8% | 436 | 416 | $1K |
| 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 | 3.5% | 16 | 13 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.9% | 25 | 25 | $981.57 |
| 73565 | 1.2% | 14 | 13 | $416.96 | |
| 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% | 17 | 15 | $6.25 |
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 officialKLINE, BRIAN (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Dubois Regional Medical Center | Saint Marys, PA | $2.71M |
| Dubois Regional Medical Center | Du Bois, PA | $45K |
| Dubois Regional Medical Center | Du Bois, PA | $12K |
| Dubois Regional Medical Center | Du Bois, PA | $3K |
| Dubois Regional Medical Center | Clearfield, PA | $592.30 |
| Dubois Regional Medical Center - Penn Highlands Medical Arts BLDG Elk | Saint Marys, PA | $249.80 |
| Dubois Reg Med CTR - PH Dubois Punxsutawney Community Med BLDG | Punxsutawney, PA | $230.35 |
| Dubois Regional Med CTR - Penn Highlands Dubois Community Medical BLDG | Du Bois, PA | $206.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.