Physician
Thornapple River Orthopedics PC
Thornapple River Orthopedics PC was paid $34K by Medicaid between Mar 2020 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoTHORNAPPLE RIVER ORTHOPEDICS PC
CALEDONIA, MI 49316
CALEDONIA, MI 49316
33aNPI1528530839assigned 12/27/2018
33bProvider typeOrthopaedic Surgery Physician
28Total paid$34K
24GClaims993
24DCodes billed7
24AFirst – last monthMar 2020 – Oct 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Michigan
Rank by total paid#46 of 98
Median peer was paid$28K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2020 | 79 | $3K | |
| 2021 | 244 | $9K | |
| 2022 | 263 | $9K | |
| 2023 | 189 | $7K | |
| 2024incomplete | 218 | $6K |
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 | 65% | 513 | 490 | $22K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 17% | 245 | 241 | $6K |
| 20610 | 10% | 121 | 111 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 44 | 44 | $2K |
| 73562 | 1.5% | 29 | 26 | $505.73 | |
| 73030 | <1% | 13 | 12 | $247.84 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 28 | 28 | $10.00 |
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 officialHORTON, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Rankin County Hospital District | Rankin, TX | $26K |
| Rankin County Hospital District | Rankin, TX | $14K |
| William Mccarthy, INC. | Mt Pleasant, MI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.