Physician
Mishawaka Orthopedics and Sports Medicine P C
Mishawaka Orthopedics and Sports Medicine P C was paid $47K by Medicaid between Jan 2018 and Jul 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.
33Billing provider infoMISHAWAKA ORTHOPEDICS AND SPORTS MEDICINE P C
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
33aNPI1578558458assigned 09/15/2005
33bProvider typeSports Medicine (Orthopaedic Surgery) Physician
28Total paid$47K
24GClaims1,432
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Indiana
Rank by total paid#2 of 5
Median peer was paid$40K
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 | |
|---|---|---|---|
| 2018 | 86 | $1K | |
| 2019 | 181 | $5K | |
| 2020 | 68 | $2K | |
| 2021 | 179 | $6K | |
| 2022 | 323 | $11K | |
| 2023 | 450 | $16K | |
| 2024incomplete | 145 | $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 | 91% | 1,327 | 998 | $43K |
| 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 | 4.3% | 34 | 26 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 38 | 28 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 33 | 28 | $841.85 |
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 officialWARE, CHARLES (PRESIDENT)