Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Rockwall › NPI 1699980557
Physician

Lake Pointe Orthopaedic Associates, PA

Lake Pointe Orthopaedic Associates, PA was paid $36K by Medicaid between Nov 2020 and Dec 2024, across 14 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 32% of everything it billed.

33Billing provider infoLAKE POINTE ORTHOPAEDIC ASSOCIATES, PA
ROCKWALL, TX 75032
33aNPI1699980557assigned 05/14/2007
28Total paid$36K
24GClaims1,244
24DCodes billed14
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Texas

Rank by total paid#32 of 105
Median peer was paid$11K
This provider vs. median3.2×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
202017$0.00
2021329$3K
202271$3K
2023465$16K
2024incomplete362$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 32% 171 161 $12K
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 19% 180 160 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 204 178 $6K
73610 11% 143 114 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8.9% 78 72 $3K
73630 8.1% 116 87 $3K
73130 2.2% 32 26 $779.52
73110 1.0% 13 12 $366.94
1036F 0% 17 14 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 32 27 $0.00
4040F 0% 16 14 $0.00
99072 0% 205 163 $0.00
2 more codes
G8783 Normal blood pressure reading documented, follow-up not required 0% 16 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 21 $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 officialALDRICH, DANIEL (MANAGING PARTNER)