Physician
Orthocincy Orthopaedics & Sports Medicine PSC
Orthocincy Orthopaedics & Sports Medicine PSC was paid $9.43M by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC
EDGEWOOD, KY 41017
EDGEWOOD, KY 41017
33aNPI1598714560assigned 05/08/2006
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$9.43M
24GClaims254,801
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in Kentucky
Rank by total paid#1 of 9
Median peer was paid$44K
This provider vs. median216×
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 | 26,009 | $923K | |
| 2019 | 28,535 | $985K | |
| 2020 | 30,613 | $1.11M | |
| 2021 | 40,743 | $1.57M | |
| 2022 | 46,376 | $1.73M | |
| 2023 | 53,580 | $1.94M | |
| 2024incomplete | 28,945 | $1.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 54,537 | 44,905 | $2.56M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 48,859 | 39,731 | $1.53M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 13% | 39,872 | 14,654 | $1.20M |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 9.8% | 4,591 | 4,244 | $924K |
| 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 | 9.4% | 12,015 | 10,088 | $889K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 10,494 | 8,886 | $600K |
| 20610 | 3.3% | 9,513 | 6,844 | $309K | |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | 2.1% | 2,338 | 2,085 | $194K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 1.5% | 583 | 528 | $145K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 1.1% | 2,952 | 2,561 | $100K |
| 73610 | <1% | 4,890 | 3,963 | $77K | |
| 73110 | <1% | 4,520 | 3,150 | $70K |
68 more codes
| 73630 | <1% | 3,844 | $62K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 219 | $59K |
| 99050 | <1% | 3,233 | $58K | |
| 73562 | <1% | 3,489 | $56K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 8,800 | $46K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 2,215 | $40K |
| 73030 | <1% | 2,145 | $32K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 2,742 | $31K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 2,800 | $30K |
| 72100 | <1% | 1,467 | $29K | |
| 73130 | <1% | 1,692 | $29K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,998 | $27K |
| 76942 | <1% | 358 | $22K | |
| 72110 | <1% | 897 | $22K | |
| 97016 | <1% | 3,615 | $21K | |
| 73560 | <1% | 1,284 | $20K | |
| 20611 | <1% | 443 | $19K | |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 396 | $19K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 450 | $16K |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | <1% | 268 | $15K |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 5,066 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 510 | $13K |
| 73140 | <1% | 988 | $12K | |
| 64721 | <1% | 53 | $10K | |
| 77002 | <1% | 261 | $10K | |
| 73565 | <1% | 609 | $9K | |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | <1% | 63 | $9K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 473 | $9K |
| 73620 | <1% | 553 | $9K | |
| 97162 | <1% | 204 | $8K | |
| 97161 | <1% | 143 | $6K | |
| 95886 | <1% | 189 | $6K | |
| 73221 | <1% | 26 | $6K | |
| 80305 | <1% | 1,036 | $5K | |
| 73502 | <1% | 213 | $5K | |
| 25600 | <1% | 29 | $5K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 397 | $5K |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 625 | $4K |
| 99243 | <1% | 68 | $4K | |
| 72070 | <1% | 237 | $4K | |
| 62323 | <1% | 36 | $4K | |
| 72040 | <1% | 156 | $3K | |
| L3260 | Surgical boot/shoe, each | <1% | 172 | $3K |
| 29848 | <1% | 27 | $3K | |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | <1% | 168 | $2K |
| 29425 | <1% | 37 | $2K | |
| 64493 | <1% | 14 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 603 | $1K |
| 26600 | <1% | 14 | $1K | |
| 73564 | <1% | 83 | $1K | |
| 72050 | <1% | 32 | $996.82 | |
| 99406 | <1% | 95 | $903.77 | |
| 64494 | <1% | 14 | $718.91 | |
| 20550 | <1% | 27 | $672.19 | |
| E0141 | Walker, rigid, wheeled, adjustable or fixed height | <1% | 17 | $496.37 |
| 72170 | <1% | 32 | $495.06 | |
| 29075 | <1% | 18 | $458.08 | |
| 99221 | <1% | 16 | $424.14 | |
| 73080 | <1% | 17 | $418.03 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 47 | $357.44 |
| 20552 | <1% | 15 | $339.21 | |
| 29125 | <1% | 13 | $188.10 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $162.80 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 489 | $112.88 |
| Q4022 | Cast supplies, short arm splint, adult (11 years +), fiberglass | <1% | 13 | $55.23 |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | <1% | 26 | $51.20 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 47 | $0.02 |
| 99024 | 0% | 3,299 | $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 officialREIS, JOANN (EXECUTIVE OFFICER/MANAGER)