Physician
Chippewa Valley Orthopedics and Sports Medicine Clinic SC
Chippewa Valley Orthopedics and Sports Medicine Clinic SC was paid $213K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoCHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC
ALTOONA, WI 54720
ALTOONA, WI 54720
33aNPI1699778829assigned 05/23/2005
33bProvider typeNeurological Surgery Physician
28Total paid$213K
24GClaims9,702
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurological Surgery Physician providers in Wisconsin
Rank by total paid#1 of 7
Median peer was paid$14K
This provider vs. median15×
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 | 957 | $18K | |
| 2019 | 1,205 | $23K | |
| 2020 | 1,213 | $25K | |
| 2021 | 1,829 | $39K | |
| 2022 | 1,685 | $40K | |
| 2023 | 1,662 | $34K | |
| 2024incomplete | 1,151 | $35K |
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 | 31% | 3,698 | 2,806 | $65K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 1,395 | 1,130 | $47K |
| 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 | 16% | 1,434 | 1,104 | $34K |
| 73630 | 16% | 2,227 | 1,434 | $33K | |
| 64483 | 8.3% | 213 | 158 | $18K | |
| 64493 | 2.1% | 52 | 40 | $4K | |
| 73610 | 1.8% | 216 | 154 | $4K | |
| 20610 | 1.4% | 101 | 74 | $3K | |
| 64494 | 1.2% | 70 | 40 | $2K | |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 20 | 16 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 117 | 90 | $307.17 |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 20 | 12 | $248.56 |
2 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $235.50 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 109 | $89.12 |
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 officialCROW, AUSTIN (PRESIDENT)