Fondren Orthopedic Group L.L.P.

Fondren Orthopedic Group L.L.P. was paid $315K by Medicaid between Oct 2020 and Mar 2023, across 15 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 43% of everything it billed.

33Billing provider infoFONDREN ORTHOPEDIC GROUP L.L.P.
HOUSTON, TX 77030

33aNPI1609830595assigned 04/17/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$315K

24GClaims4,529

24DCodes billed15

24AFirst – last monthOct 2020 – Mar 2023

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Texas

Rank by total paid#11 of 105

Median peer was paid$11K

This provider vs. median28×

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	362	$24K
2021	1,703	$118K
2022	2,006	$135K
2023	458	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	43%	1,609	1,569	$136K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	1,937	1,704	$105K
29075		11%	436	366	$35K
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	9.2%	221	208	$29K
29425		<1%	39	36	$3K
73562		<1%	41	39	$2K
73100		<1%	43	37	$1K
73610		<1%	32	26	$1K
73070		<1%	31	26	$896.80
73140		<1%	15	12	$474.20
73560		<1%	13	12	$434.67
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	13	$301.37

3 more codes

L3265	Plastazote sandal, each	<1%	16	$85.00
Q4012	Cast supplies, short arm cast, pediatric (0-10 years), fiberglass	0%	63	$0.00
Q4010	Cast supplies, short arm cast, adult (11 years +), fiberglass	0%	19	$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 officialYATES, KAREN (COO)