Managed care
Taos Orthopaedic Institute, PC
Taos Orthopaedic Institute, PC was paid $168K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoTAOS ORTHOPAEDIC INSTITUTE, PC
TAOS, NM 87571
TAOS, NM 87571
33aNPI1538113055assigned 05/20/2006
33bProvider typePreferred Provider Organization
28Total paid$168K
24GClaims3,196
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
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 | 792 | $36K | |
| 2019 | 626 | $38K | |
| 2020 | 337 | $20K | |
| 2021 | 526 | $24K | |
| 2022 | 388 | $17K | |
| 2023 | 279 | $17K | |
| 2024incomplete | 248 | $16K |
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 | 64% | 2,056 | 1,978 | $107K |
| 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 | 17% | 427 | 410 | $29K |
| 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 | 7.6% | 116 | 115 | $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 | 5.2% | 110 | 107 | $9K |
| 20610 | 4.3% | 196 | 179 | $7K | |
| S9999 | Sales tax | 1.3% | 97 | 72 | $2K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 150 | 145 | $727.76 |
| 73030 | <1% | 30 | 25 | $616.26 | |
| 73562 | <1% | 14 | 12 | $254.79 |
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 officialLUBOWITZ, JAMES (OWNER)