Reconstructive Orthopedics, PA

Reconstructive Orthopedics, PA was paid $2.56M by Medicaid between Jan 2018 and Jul 2023, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoRECONSTRUCTIVE ORTHOPEDICS, PA
MARLTON, NJ 08053

33aNPI1659319002assigned 06/04/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$2.56M

24GClaims39,108

24DCodes billed29

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Orthopaedic Surgery Physician providers in New Jersey

Rank by total paid#6 of 61

Median peer was paid$50K

This provider vs. median51×

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	5,460	$399K
2019	4,840	$340K
2020	5,004	$335K
2021	8,710	$588K
2022	10,986	$665K
2023	4,108	$232K

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	60%	23,062	21,402	$1.54M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	24%	5,827	5,735	$610K
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	4.3%	1,250	1,209	$111K
73630		2.2%	1,919	1,540	$55K
73610		1.5%	1,258	1,108	$39K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	1.4%	186	182	$37K
73110		1.0%	742	598	$27K
72110		<1%	438	426	$21K
20610		<1%	443	292	$20K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	445	438	$18K
73130		<1%	554	455	$17K
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%	66	63	$9K

17 more codes

J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	1,464	$8K
73562		<1%	241	$8K
73564		<1%	224	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	92	$7K
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	<1%	81	$7K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	<1%	77	$5K
20550		<1%	41	$2K
73030		<1%	94	$2K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	269	$2K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	162	$2K
73502		<1%	40	$1K
73560		<1%	34	$1K
73140		<1%	33	$910.14
76942		<1%	14	$711.50
72050		<1%	12	$609.50
73565		<1%	12	$475.14
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	28	$23.60

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 officialMICKLE, AMY (CREDENTIALING SPECIALIST)