Physician
Bone & Joint Specialists Physician Group, LLC
Bone & Joint Specialists Physician Group, LLC was paid $23K by Medicaid between Jan 2018 and Jul 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoBONE & JOINT SPECIALISTS PHYSICIAN GROUP, LLC
BELTON, MO 64012
BELTON, MO 64012
33aNPI1629313655assigned 12/03/2012
33bProvider typeOrthopaedic Surgery Physician
28Total paid$23K
24GClaims798
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Missouri
Rank by total paid#22 of 67
Median peer was paid$7K
This provider vs. median3.5×
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 | 93 | $1K | |
| 2019 | 61 | $263.20 | |
| 2020 | 129 | $3K | |
| 2021 | 219 | $5K | |
| 2022 | 167 | $7K | |
| 2023 | 129 | $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 | 53% | 545 | 454 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 96 | 87 | $5K |
| 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 | 13% | 49 | 42 | $3K |
| 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 | 9.4% | 36 | 32 | $2K |
| 20610 | 2.5% | 37 | 27 | $585.58 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 35 | 30 | $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 officialCARLON, TODD (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Jackson County Pulmonary Medical Group LLC | Independence, MO | $103K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.