Physician
River Valley Orthopaedics & Sports Medicine, INC.
River Valley Orthopaedics & Sports Medicine, INC. was paid $911K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoRIVER VALLEY ORTHOPAEDICS & SPORTS MEDICINE, INC.
LANCASTER, OH 43130
LANCASTER, OH 43130
33aNPI1669450961assigned 01/06/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$911K
24GClaims34,122
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Ohio
Rank by total paid#7 of 60
Median peer was paid$13K
This provider vs. median71×
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 | 5,382 | $152K | |
| 2019 | 5,209 | $160K | |
| 2020 | 4,694 | $137K | |
| 2021 | 5,360 | $127K | |
| 2022 | 4,659 | $110K | |
| 2023 | 4,872 | $129K | |
| 2024incomplete | 3,946 | $97K |
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 | 33% | 10,298 | 8,887 | $298K |
| 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 | 21% | 4,088 | 3,680 | $188K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 2,567 | 2,392 | $117K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 8.9% | 4,082 | 1,116 | $81K |
| 20611 | 6.3% | 1,195 | 963 | $58K | |
| 73560 | 4.0% | 2,944 | 2,305 | $36K | |
| 73565 | 3.2% | 2,392 | 2,127 | $29K | |
| 20610 | 2.8% | 1,086 | 806 | $25K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2.6% | 3,225 | 2,762 | $24K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.3% | 742 | 200 | $12K |
| 27447 | 1.3% | 13 | 12 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 413 | 379 | $7K |
13 more codes
| 29877 | <1% | 24 | $7K | |
| 73030 | <1% | 278 | $4K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 398 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 28 | $2K |
| 73502 | <1% | 100 | $1K | |
| 73610 | <1% | 70 | $1K | |
| 72100 | <1% | 63 | $946.14 | |
| 97162 | <1% | 14 | $714.86 | |
| 97161 | <1% | 12 | $692.77 | |
| 72114 | <1% | 18 | $435.81 | |
| 97016 | <1% | 42 | $314.72 | |
| 20936 | 0% | 15 | $0.00 | |
| 20930 | 0% | 15 | $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 officialSTRINGER, CANDACE (CHIEF OPERATIONS OFFICER)