Sandhills Orthopaedic and Spine Clinic, PA

Sandhills Orthopaedic and Spine Clinic, PA was paid $244K by Medicaid between Jan 2018 and Mar 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.

33Billing provider infoSANDHILLS ORTHOPAEDIC AND SPINE CLINIC, PA
SOUTHERN PINES, NC 28388

33aNPI1740225101assigned 06/19/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$244K

24GClaims6,880

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in North Carolina

Rank by total paid#11 of 66

Median peer was paid$19K

This provider vs. median13×

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	2,460	$82K
2019	1,650	$52K
2020	1,218	$51K
2021	1,224	$51K
2022	328	$9K

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	98%	6,667	5,767	$240K
99422		<1%	121	88	$2K
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	<1%	13	13	$2K
72100		<1%	33	18	$287.19
J3490	Unclassified drugs	<1%	46	38	$2.48

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 officialRICE, KIRSTEN (EXECUTIVE DIRECTOR FINANCE/BUSINESS)