Orthopedic Specialists & Sports Medicine, INC.
Orthopedic Specialists & Sports Medicine, INC. was paid $328K by Medicaid between Jan 2018 and Nov 2022, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoORTHOPEDIC SPECIALISTS & SPORTS MEDICINE, INC.
GRANVILLE, OH 43023
GRANVILLE, OH 43023
33aNPI1710983200assigned 06/21/2005
33bProvider typeSpecialist
28Total paid$328K
24GClaims8,262
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Specialist providers in Ohio
Rank by total paid#46 of 219
Median peer was paid$46K
This provider vs. median7.2×
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
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 | 1,396 | $59K | |
| 2019 | 1,663 | $75K | |
| 2020 | 1,784 | $73K | |
| 2021 | 1,888 | $71K | |
| 2022 | 1,531 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 3,130 | 2,742 | $139K |
| 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 | 24% | 1,095 | 1,053 | $79K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 12% | 2,074 | 633 | $41K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 632 | 572 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 417 | 388 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 234 | 221 | $11K |
| 20610 | <1% | 120 | 92 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 496 | 461 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $1K |
| 72100 | <1% | 20 | 16 | $472.71 | |
| 73560 | <1% | 18 | 15 | $229.68 | |
| 73565 | <1% | 14 | 13 | $155.11 |
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 officialWESTERHEIDE, EDWARD (PRESIDENT)