Physician
Orthopaedic Surgical Consultants, PC
Orthopaedic Surgical Consultants, PC was paid $339K by Medicaid between Sep 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoORTHOPAEDIC SURGICAL CONSULTANTS, PC
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
33aNPI1528123007assigned 12/26/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$339K
24GClaims9,063
24DCodes billed11
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Indiana
Rank by total paid#5 of 41
Median peer was paid$30K
This provider vs. median11×
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 | 37 | $519.90 | |
| 2019 | 891 | $28K | |
| 2020 | 1,759 | $66K | |
| 2021 | 1,831 | $73K | |
| 2022 | 2,054 | $76K | |
| 2023 | 1,761 | $58K | |
| 2024incomplete | 730 | $38K |
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 | 60% | 4,515 | 3,669 | $203K |
| 20611 | 13% | 922 | 701 | $45K | |
| 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 | 11% | 640 | 534 | $39K |
| 73562 | 3.7% | 637 | 524 | $13K | |
| 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 | 3.7% | 121 | 105 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 133 | 125 | $10K |
| 20610 | 2.6% | 308 | 236 | $9K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.3% | 983 | 817 | $4K |
| 73030 | <1% | 112 | 96 | $2K | |
| 73630 | <1% | 51 | 40 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 641 | 553 | $433.20 |
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 officialPOMPONI, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Highway 30 Physical Therapy and Rehabilitation, LLC | Merriville, IN | $737K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.