Orthopaedic Specialists of Northwest Indiana PC

Orthopaedic Specialists of Northwest Indiana PC was paid $159.62 by Medicaid between Mar 2018 and May 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoORTHOPAEDIC SPECIALISTS OF NORTHWEST INDIANA PC
MUNSTER, IN 46321

33aNPI1497865794assigned 08/30/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$159.62

24GClaims110

24DCodes billed4

24AFirst – last monthMar 2018 – May 2023

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Indiana

Rank by total paid#38 of 41

Median peer was paid$30K

This provider vs. median0.0×

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	12	$0.00
2019	17	$69.28
2020	32	$51.99
2021	13	$0.00
2022	13	$26.31
2023	23	$12.04

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	76%	62	51	$121.27
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	16%	13	12	$26.31
20610		7.5%	23	13	$12.04
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	0%	12	12	$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 officialHACKETT, MARTHA (BILLING LEAD)