Physician
Orthopedic Surgery, INC
Orthopedic Surgery, INC was paid $512K by Medicaid between May 2018 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoORTHOPEDIC SURGERY, INC
STONEHAM, MA 02180
STONEHAM, MA 02180
33aNPI1689728669assigned 01/23/2007
33bProvider typeRheumatology Physician
28Total paid$512K
24GClaims17,621
24DCodes billed26
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Rheumatology Physician providers in Massachusetts
Rank by total paid#5 of 46
Median peer was paid$12K
This provider vs. median41×
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 | 81 | $3K | |
| 2019 | 2,063 | $53K | |
| 2020 | 2,223 | $61K | |
| 2021 | 3,505 | $92K | |
| 2022 | 3,468 | $95K | |
| 2023 | 3,693 | $121K | |
| 2024incomplete | 2,588 | $87K |
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 | 39% | 5,457 | 5,172 | $201K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 1,361 | 1,350 | $83K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 14% | 3,567 | 1,107 | $70K |
| 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 | 13% | 1,299 | 1,246 | $69K |
| 20611 | 9.0% | 1,110 | 907 | $46K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 3.5% | 1,528 | 496 | $18K |
| 73630 | 1.8% | 645 | 509 | $9K | |
| 97164 | <1% | 71 | 69 | $3K | |
| 62323 | <1% | 15 | 14 | $2K | |
| 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% | 26 | 26 | $2K |
| 97161 | <1% | 38 | 38 | $2K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 134 | 130 | $926.63 |
14 more codes
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 236 | $901.20 |
| 72110 | <1% | 35 | $813.09 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 142 | $570.60 |
| 73130 | <1% | 36 | $463.86 | |
| 73030 | <1% | 30 | $422.14 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 15 | $330.12 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $249.38 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 322 | $186.71 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 95 | $164.25 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 75 | $13.26 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 93 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 749 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 169 | $0.00 |
| 1036F | 0% | 360 | $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 officialSTANTON, MAUREEN (BUSINESS MANAGER)