Supplier
Sports Medicine Surgical Specialists PLLC
Sports Medicine Surgical Specialists PLLC was paid $276K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoSPORTS MEDICINE SURGICAL SPECIALISTS PLLC
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
33aNPI1689070559assigned 11/05/2014
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$276K
24GClaims8,388
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Kentucky
Rank by total paid#84 of 362
Median peer was paid$5K
This provider vs. median56×
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 | 1,341 | $42K | |
| 2019 | 1,800 | $59K | |
| 2020 | 1,544 | $43K | |
| 2021 | 1,290 | $39K | |
| 2022 | 1,497 | $59K | |
| 2023 | 658 | $25K | |
| 2024incomplete | 258 | $9K |
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 | 51% | 4,835 | 3,862 | $141K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 977 | 840 | $52K |
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 7.8% | 147 | 116 | $22K |
| 73630 | 3.8% | 673 | 495 | $11K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 3.6% | 352 | 205 | $10K |
| 73620 | 2.7% | 468 | 389 | $7K | |
| 11721 | 2.7% | 393 | 349 | $7K | |
| 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 | 2.7% | 156 | 132 | $7K |
| 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 | 2.5% | 73 | 65 | $7K |
| 28475 | 1.6% | 78 | 37 | $4K | |
| 99243 | 1.2% | 52 | 43 | $3K | |
| L1971 | Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment | <1% | 19 | 18 | $3K |
5 more codes
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 officialMYRICK, KEITH (SOLE OWNER)
| Provider | Location | Paid |
|---|---|---|
| Sports Medicine Surgical Specialists PLLC | Louisville, KY | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.