The Central Orthopedic Group L L P
The Central Orthopedic Group L L P was paid $29K by Medicaid between Jan 2019 and Aug 2022, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoTHE CENTRAL ORTHOPEDIC GROUP L L P
PLAINVIEW, NY 11803
PLAINVIEW, NY 11803
33aNPI1669694394assigned 05/03/2007
33bProvider typeSpecialist
28Total paid$29K
24GClaims972
24DCodes billed8
24AFirst – last monthJan 2019 – Aug 2022
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#682 of 1,221
Median peer was paid$45K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2019 | 49 | $2K | |
| 2020 | 431 | $10K | |
| 2021 | 326 | $12K | |
| 2022 | 166 | $5K |
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 | 61% | 606 | 561 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 39% | 229 | 229 | $11K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 37 | 36 | $0.00 |
| 1124F | 0% | 16 | 16 | $0.00 | |
| 4040F | 0% | 39 | 38 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 15 | 14 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | 12 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 18 | 17 | $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 officialZITNER, DAVID (MANAGING PARTNER)