Supplier
Orthopaedic Surgery Associates of Marquette PC
Orthopaedic Surgery Associates of Marquette PC was paid $1.21M by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 28% of everything it billed.
33Billing provider infoORTHOPAEDIC SURGERY ASSOCIATES OF MARQUETTE PC
MARQUETTE, MI 49855
MARQUETTE, MI 49855
33aNPI1730199845assigned 08/09/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.21M
24GClaims33,071
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Michigan
Rank by total paid#51 of 290
Median peer was paid$97K
This provider vs. median12×
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 | 4,753 | $157K | |
| 2019 | 4,620 | $142K | |
| 2020 | 3,900 | $120K | |
| 2021 | 4,923 | $188K | |
| 2022 | 5,717 | $217K | |
| 2023 | 5,387 | $223K | |
| 2024incomplete | 3,771 | $165K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 28% | 5,344 | 5,302 | $334K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 6,893 | 6,468 | $327K |
| 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 | 10% | 1,874 | 1,832 | $126K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.2% | 3,961 | 3,824 | $111K |
| 20610 | 8.8% | 3,035 | 2,681 | $107K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 6.2% | 1,850 | 1,840 | $75K |
| 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 | 2.8% | 357 | 357 | $34K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2.5% | 4,111 | 3,995 | $31K |
| 73630 | 1.3% | 1,417 | 738 | $15K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.1% | 288 | 80 | $13K |
| 73110 | <1% | 383 | 308 | $8K | |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 25 | 25 | $4K |
17 more codes
| 73610 | <1% | 248 | $4K | |
| 73030 | <1% | 203 | $4K | |
| 73562 | <1% | 175 | $3K | |
| 73130 | <1% | 107 | $2K | |
| 20550 | <1% | 67 | $2K | |
| 73564 | <1% | 79 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,695 | $2K |
| 73502 | <1% | 74 | $2K | |
| 29075 | <1% | 33 | $2K | |
| 20611 | <1% | 24 | $1K | |
| 99201 | <1% | 57 | $1K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 27 | $554.75 |
| 73080 | <1% | 19 | $333.95 | |
| 73560 | <1% | 13 | $255.00 | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 15 | $200.24 |
| 1123F | 0% | 470 | $0.00 | |
| 1124F | 0% | 227 | $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 officialSONGER, MATTHEW (PRESIDENT)