Physician
Plymouth Bay Orthopedic Associates INC.
Plymouth Bay Orthopedic Associates INC. was paid $113K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoPLYMOUTH BAY ORTHOPEDIC ASSOCIATES INC.
DUXBURY, MA 02332
DUXBURY, MA 02332
33aNPI1548281488assigned 07/23/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$113K
24GClaims3,390
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Massachusetts
Rank by total paid#18 of 166
Median peer was paid$10K
This provider vs. median12×
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 | 476 | $11K | |
| 2019 | 451 | $10K | |
| 2020 | 456 | $12K | |
| 2021 | 623 | $14K | |
| 2022 | 591 | $17K | |
| 2023 | 497 | $27K | |
| 2024incomplete | 296 | $20K |
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 | 58% | 2,269 | 2,165 | $66K |
| 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 | 19% | 471 | 441 | $22K |
| 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 | 17% | 188 | 187 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 38 | 38 | $2K |
| 73030 | 1.3% | 148 | 118 | $1K | |
| 73110 | <1% | 67 | 49 | $877.89 | |
| 73562 | <1% | 38 | 27 | $752.40 | |
| 20610 | <1% | 25 | 25 | $601.42 | |
| 73140 | <1% | 52 | 37 | $564.68 | |
| 72110 | <1% | 14 | 12 | $180.65 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 27 | 25 | $121.80 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 26 | 25 | $29.91 |
1 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 27 | $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 officialHOCHMUTH, NED (PRACTICE ADMINISTRATOR)