Physician
Orthopedic and Sports Medicine Center of Northern Indiana, INC
Orthopedic and Sports Medicine Center of Northern Indiana, INC was paid $3.05M by Medicaid between Apr 2019 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC
ELKHART, IN 46514
ELKHART, IN 46514
33aNPI1710085253assigned 09/20/2006
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$3.05M
24GClaims80,854
24DCodes billed21
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Indiana
Rank by total paid#2 of 24
Median peer was paid$106K
This provider vs. median29×
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 | |
|---|---|---|---|
| 2019 | 7,332 | $182K | |
| 2020 | 8,751 | $294K | |
| 2021 | 12,309 | $515K | |
| 2022 | 14,546 | $606K | |
| 2023 | 20,201 | $721K | |
| 2024incomplete | 17,715 | $734K |
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 | 32% | 25,374 | 21,708 | $979K |
| 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 | 18% | 9,212 | 7,954 | $543K |
| 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 | 14% | 4,220 | 3,787 | $418K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 11% | 14,637 | 6,921 | $321K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.8% | 4,182 | 3,778 | $268K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 5.7% | 7,092 | 3,630 | $174K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 5.6% | 7,475 | 3,868 | $169K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.8% | 3,150 | 1,683 | $55K |
| 20610 | 1.5% | 1,553 | 1,126 | $46K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1.0% | 1,925 | 1,636 | $31K |
| 73630 | <1% | 1,055 | 828 | $21K | |
| 62323 | <1% | 118 | 103 | $7K |
9 more codes
| 97162 | <1% | 77 | $5K | |
| 73610 | <1% | 185 | $4K | |
| 11721 | <1% | 239 | $3K | |
| 97161 | <1% | 65 | $3K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 13 | $2K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 42 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $693.81 |
| 97035 | <1% | 26 | $258.32 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 187 | $93.00 |
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 officialMCLAUGHLIN, ROBIN (CHIEF OPERATING OFFICER)