Physician
Hunterdon Orthopedic Institute PA
Hunterdon Orthopedic Institute PA was paid $9.74M by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is J1568, Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg — 24% of everything it billed.
33Billing provider infoHUNTERDON ORTHOPEDIC INSTITUTE PA
FLEMINGTON, NJ 08822
FLEMINGTON, NJ 08822
33aNPI1619952595assigned 12/13/2005
33bProvider typeOrthopaedic Surgery Physician
28Total paid$9.74M
24GClaims97,805
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in New Jersey
Rank by total paid#2 of 61
Median peer was paid$50K
This provider vs. median195×
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 | 10,260 | $819K | |
| 2019 | 10,264 | $845K | |
| 2020 | 9,743 | $1.07M | |
| 2021 | 17,427 | $3.32M | |
| 2022 | 18,054 | $1.25M | |
| 2023 | 19,075 | $1.45M | |
| 2024incomplete | 12,982 | $1.00M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 24% | 387 | 218 | $2.30M |
| 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 | 18% | 18,232 | 16,724 | $1.76M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 25,634 | 23,032 | $1.68M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 13,359 | 12,695 | $1.41M |
| 20610 | 11% | 11,316 | 8,982 | $1.03M | |
| 73564 | 1.7% | 4,585 | 3,243 | $163K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.4% | 132 | 130 | $135K |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 1.3% | 222 | 179 | $126K |
| 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 | <1% | 681 | 651 | $97K |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | <1% | 319 | 157 | $83K |
| 73630 | <1% | 2,643 | 1,950 | $83K | |
| 64483 | <1% | 263 | 246 | $79K |
47 more codes
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | <1% | 413 | $70K |
| L0651 | Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf | <1% | 191 | $68K |
| 72100 | <1% | 1,644 | $67K | |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 244 | $55K |
| 73610 | <1% | 1,587 | $51K | |
| 73130 | <1% | 1,518 | $47K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 3,315 | $45K |
| 72110 | <1% | 840 | $45K | |
| 73010 | <1% | 1,113 | $34K | |
| 73020 | <1% | 1,223 | $33K | |
| 95886 | <1% | 264 | $26K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 496 | $24K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 96 | $20K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 504 | $19K |
| 95885 | <1% | 309 | $18K | |
| 73110 | <1% | 568 | $18K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 28 | $13K |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | <1% | 39 | $12K |
| 72040 | <1% | 277 | $11K | |
| 64615 | <1% | 80 | $10K | |
| L3807 | Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 71 | $10K |
| 72052 | <1% | 138 | $9K | |
| L0627 | Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 59 | $8K |
| 73502 | <1% | 208 | $8K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 904 | $8K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 1,160 | $8K |
| 95909 | <1% | 43 | $8K | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 477 | $7K |
| 64479 | <1% | 27 | $6K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 154 | $6K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 93 | $5K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 485 | $5K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 405 | $5K |
| L0631 | Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 12 | $4K |
| L3995 | Addition to upper extremity orthosis, sock, fracture or equal, each | <1% | 116 | $3K |
| 20553 | <1% | 85 | $3K | |
| L2840 | Addition to lower extremity orthosis, tibial length sock, fracture or equal, each | <1% | 139 | $2K |
| 20605 | <1% | 39 | $2K | |
| L2830 | Addition to lower extremity orthosis, soft interface for molded plastic, above knee section | <1% | 47 | $1K |
| 73140 | <1% | 42 | $1K | |
| 20550 | <1% | 14 | $982.63 | |
| 73562 | <1% | 33 | $896.24 | |
| L2397 | Addition to lower extremity orthosis, suspension sleeve | <1% | 18 | $867.99 |
| 29125 | <1% | 14 | $847.45 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 366 | $547.62 |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 31 | $115.56 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 103 | $1.85 |
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 officialCOLLALTO, PATRICK (PRESIDENT)