Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Hoover › NPI 1730701673
Physician

Orthosports1st PC

Orthosports1st PC was paid $37K by Medicaid between Aug 2021 and Nov 2024, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 50% of everything it billed.

33Billing provider infoORTHOSPORTS1ST PC
HOOVER, AL 35244
33aNPI1730701673assigned 05/14/2020
28Total paid$37K
24GClaims563
24DCodes billed4
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers

Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Alabama

Rank by total paid#4 of 8
Median peer was paid$7K
This provider vs. median5.3×

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$5.0K$10K2018201920202021202220232024
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
202124$546.00
202244$3K
2023256$20K
2024incomplete239$15K
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 50% 283 193 $19K
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 36% 222 152 $13K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 9.3% 14 14 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.2% 44 30 $2K

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 officialCOVIN, MARK (CONTROLLER)