Three Rivers Orthopaedics PA

Three Rivers Orthopaedics PA was paid $67K by Medicaid between Jan 2018 and Sep 2021, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

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	530	$17K
2019	585	$21K
2020	542	$19K
2021	279	$10K

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	52%	1,160	841	$35K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	47%	760	676	$31K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.2%	16	12	$773.32

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 officialCALDWELL, JOSEPH (OWNER/PRESIDENT)