Physician
Tri County Orthopedic Surgeons Incorporated
Tri County Orthopedic Surgeons Incorporated was paid $803K by Medicaid between Jan 2018 and Mar 2023, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoTRI COUNTY ORTHOPEDIC SURGEONS INCORPORATED
MASSILLON, OH 44646
MASSILLON, OH 44646
33aNPI1639172745assigned 05/23/2005
33bProvider typeOrthopaedic Surgery of the Spine Physician
28Total paid$803K
24GClaims17,330
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Orthopaedic Surgery of the Spine Physician providers in Ohio
Rank by total paid#1 of 7
Median peer was paid$4K
This provider vs. median180×
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 | 3,250 | $136K | |
| 2019 | 3,607 | $160K | |
| 2020 | 3,141 | $147K | |
| 2021 | 3,632 | $169K | |
| 2022 | 2,799 | $145K | |
| 2023 | 901 | $46K |
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 | 27% | 5,326 | 5,047 | $219K |
| 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 | 21% | 1,876 | 1,816 | $170K |
| 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 | 20% | 2,682 | 2,534 | $165K |
| 20610 | 13% | 1,987 | 1,872 | $104K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 1,373 | 1,339 | $81K |
| 72110 | 2.4% | 552 | 534 | $19K | |
| 72170 | 2.2% | 912 | 880 | $17K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2.1% | 2,324 | 2,226 | $16K |
| 64721 | <1% | 12 | 12 | $4K | |
| 73564 | <1% | 136 | 111 | $3K | |
| 72100 | <1% | 64 | 63 | $2K | |
| 73030 | <1% | 71 | 49 | $1K |
1 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $486.50 |
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 officialMORETTA, DANIEL (PRESIDENT)