Physician
Northeast Orthopedic Clinic PC
Northeast Orthopedic Clinic PC was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 38% of everything it billed.
33Billing provider infoNORTHEAST ORTHOPEDIC CLINIC PC
GADSDEN, AL 35901
GADSDEN, AL 35901
33aNPI1699785790assigned 08/09/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$1.30M
24GClaims51,312
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Alabama
Rank by total paid#3 of 41
Median peer was paid$7K
This provider vs. median193×
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 | 5,686 | $124K | |
| 2019 | 13,531 | $217K | |
| 2020 | 8,418 | $156K | |
| 2021 | 6,977 | $228K | |
| 2022 | 6,633 | $222K | |
| 2023 | 5,622 | $182K | |
| 2024incomplete | 4,445 | $170K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 38% | 19,972 | 4,986 | $501K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 17,512 | 12,589 | $486K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 3,765 | 2,791 | $176K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.3% | 2,540 | 604 | $17K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 1.3% | 120 | 106 | $16K |
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | 1.0% | 107 | 63 | $13K |
| 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 | <1% | 239 | 163 | $13K |
| 97162 | <1% | 642 | 352 | $13K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 773 | 156 | $12K |
| 97016 | <1% | 1,786 | 455 | $11K | |
| 97014 | <1% | 2,184 | 483 | $9K | |
| 73560 | <1% | 564 | 394 | $7K |
12 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 65 | $6K |
| 95886 | <1% | 151 | $5K | |
| 72100 | <1% | 241 | $5K | |
| 20610 | <1% | 123 | $3K | |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 61 | $2K |
| 72170 | <1% | 109 | $2K | |
| 73562 | <1% | 88 | $1K | |
| 73030 | <1% | 64 | $711.53 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 162 | $525.81 |
| 95909 | <1% | 15 | $479.10 | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 14 | $342.30 |
| 73630 | <1% | 15 | $253.00 |
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 officialCORNUTT, JIM (ADMINISTRATOR)