Physician
Orthopedic Care Physician Network, LLC
Orthopedic Care Physician Network, LLC was paid $3.61M by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoORTHOPEDIC CARE PHYSICIAN NETWORK, LLC
NORTH EASTON, MA 02356
NORTH EASTON, MA 02356
33aNPI1508121070assigned 07/10/2012
33bProvider typeOrthopaedic Surgery Physician
28Total paid$3.61M
24GClaims124,731
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Massachusetts
Rank by total paid#1 of 166
Median peer was paid$10K
This provider vs. median380×
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 | 16,398 | $423K | |
| 2019 | 14,324 | $386K | |
| 2020 | 14,550 | $429K | |
| 2021 | 22,131 | $648K | |
| 2022 | 22,986 | $690K | |
| 2023 | 23,418 | $661K | |
| 2024incomplete | 10,924 | $377K |
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 | 30% | 29,836 | 28,374 | $1.08M |
| 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 | 14% | 9,388 | 9,022 | $504K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 7,498 | 7,388 | $477K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 8.5% | 14,388 | 4,609 | $307K |
| 95886 | 3.6% | 2,782 | 1,884 | $130K | |
| 20610 | 3.2% | 4,001 | 3,769 | $116K | |
| 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 | 2.9% | 1,114 | 1,105 | $105K |
| 62323 | 2.7% | 1,969 | 1,958 | $96K | |
| 72110 | 2.0% | 4,273 | 2,882 | $71K | |
| 73110 | 1.8% | 4,629 | 2,539 | $67K | |
| 73130 | 1.8% | 5,302 | 2,894 | $63K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.6% | 4,856 | 1,824 | $58K |
47 more codes
| 64493 | 1.5% | 906 | $53K | |
| 62321 | 1.4% | 888 | $51K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.1% | 2,355 | $41K |
| 72050 | 1.1% | 2,221 | $39K | |
| 73630 | 1.1% | 3,575 | $39K | |
| 95909 | <1% | 542 | $28K | |
| 73610 | <1% | 2,264 | $27K | |
| 73030 | <1% | 2,248 | $25K | |
| 73564 | <1% | 1,775 | $25K | |
| 64494 | <1% | 654 | $20K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 3,883 | $19K |
| 72170 | <1% | 1,940 | $19K | |
| 73562 | <1% | 1,307 | $17K | |
| 73140 | <1% | 1,119 | $16K | |
| 72052 | <1% | 752 | $14K | |
| 97161 | <1% | 284 | $13K | |
| 20611 | <1% | 283 | $12K | |
| 72100 | <1% | 957 | $10K | |
| 73565 | <1% | 780 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 375 | $8K |
| 95911 | <1% | 88 | $8K | |
| 72070 | <1% | 637 | $7K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 467 | $7K |
| 64483 | <1% | 65 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 63 | $5K |
| 27096 | <1% | 110 | $4K | |
| 73070 | <1% | 336 | $4K | |
| 73502 | <1% | 240 | $3K | |
| 22853 | <1% | 14 | $2K | |
| 76942 | <1% | 121 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 94 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | $1K |
| 15769 | <1% | 30 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $712.25 |
| 20902 | <1% | 42 | $692.34 | |
| 20550 | <1% | 27 | $688.99 | |
| 11721 | <1% | 48 | $671.95 | |
| 97165 | <1% | 12 | $547.87 | |
| 95874 | <1% | 26 | $432.94 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 302 | $385.66 |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 15 | $355.20 |
| 73560 | <1% | 39 | $258.13 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 220 | $165.43 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 122 | $62.53 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 42 | $0.08 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,373 | $0.00 |
| 1100F | 0% | 25 | $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 officialSPERANZO, FRANK (COO)