Orthopedics New England, INC

Orthopedics New England, INC was paid $162K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.

33Billing provider infoORTHOPEDICS NEW ENGLAND, INC
NATICK, MA 01760

33aNPI1497835839assigned 10/17/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$162K

24GClaims5,844

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Massachusetts

Rank by total paid#15 of 166

Median peer was paid$10K

This provider vs. median17×

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	755	$21K
2019	723	$19K
2020	641	$18K
2021	1,050	$27K
2022	1,251	$37K
2023	921	$25K
2024incomplete	503	$15K

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	92%	5,160	4,774	$149K
20610		3.3%	286	214	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	67	67	$4K
73630		1.9%	282	152	$3K
73562		<1%	24	13	$324.12
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	12	12	$85.18
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	13	12	$44.94

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 officialROCKETT, SEAN (PRESIDENT)