Physician
Orthopaedic Specialists of North Carolina, P.A.
Orthopaedic Specialists of North Carolina, P.A. was paid $2.86M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A.
RALEIGH, NC 27614
RALEIGH, NC 27614
33aNPI1649327750assigned 01/04/2007
33bProvider typeOrthopaedic Surgery of the Spine Physician
28Total paid$2.86M
24GClaims108,131
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
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 | 14,335 | $235K | |
| 2019 | 13,497 | $268K | |
| 2020 | 11,644 | $232K | |
| 2021 | 15,205 | $425K | |
| 2022 | 18,511 | $548K | |
| 2023 | 18,493 | $603K | |
| 2024incomplete | 16,446 | $551K |
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 | 31% | 24,404 | 18,225 | $876K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 22,691 | 15,762 | $630K |
| 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% | 3,580 | 2,831 | $373K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.9% | 5,226 | 3,753 | $225K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 2,169 | 1,779 | $167K |
| 20610 | 5.0% | 8,112 | 4,673 | $143K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 4.0% | 6,731 | 2,509 | $115K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.1% | 3,507 | 1,383 | $59K |
| 96132 | 1.4% | 401 | 305 | $39K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.3% | 1,871 | 790 | $37K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.1% | 2,016 | 808 | $30K |
| 96116 | 1.1% | 442 | 329 | $30K |
26 more codes
| 72275 | <1% | 883 | $26K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 9,320 | $25K |
| 80305 | <1% | 5,321 | $22K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,821 | $10K |
| 73110 | <1% | 436 | $9K | |
| 73630 | <1% | 587 | $8K | |
| 96138 | <1% | 239 | $7K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,238 | $5K |
| 97161 | <1% | 105 | $4K | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 3,618 | $3K |
| 73564 | <1% | 188 | $3K | |
| 96136 | <1% | 116 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 39 | $3K |
| 62323 | <1% | 76 | $3K | |
| 72110 | <1% | 82 | $2K | |
| 20552 | <1% | 166 | $1K | |
| 73610 | <1% | 60 | $1K | |
| 72100 | <1% | 74 | $1K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 157 | $616.42 |
| 73130 | <1% | 21 | $363.62 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 877 | $353.37 |
| 72170 | <1% | 19 | $159.84 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 189 | $91.55 |
| A4550 | Surgical trays | 0% | 983 | $0.00 |
| A4212 | Non-coring needle or stylet with or without catheter | 0% | 201 | $0.00 |
| 99024 | 0% | 165 | $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 officialGALLAND, MARK (SECRETARY)