Physician
Orthopaedics Northeast PC
Orthopaedics Northeast PC was paid $6.64M by Medicaid between Jan 2018 and Nov 2024, across 80 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoORTHOPAEDICS NORTHEAST PC
FORT WAYNE, IN 46825
FORT WAYNE, IN 46825
33aNPI1740268796assigned 01/09/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$6.64M
24GClaims173,692
24DCodes billed80
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Indiana
Rank by total paid#1 of 41
Median peer was paid$30K
This provider vs. median224×
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 | 32,464 | $284K | |
| 2019 | 20,775 | $789K | |
| 2020 | 18,947 | $790K | |
| 2021 | 25,314 | $1.14M | |
| 2022 | 27,530 | $1.34M | |
| 2023 | 30,802 | $1.42M | |
| 2024incomplete | 17,860 | $872K |
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 | 41% | 69,392 | 61,280 | $2.71M |
| 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 | 19% | 24,666 | 21,924 | $1.28M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 16,686 | 15,029 | $976K |
| 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 | 7.2% | 5,257 | 4,720 | $476K |
| 64483 | 4.3% | 3,057 | 2,725 | $287K | |
| 73630 | 1.6% | 6,039 | 4,470 | $108K | |
| 20610 | 1.5% | 4,054 | 3,419 | $100K | |
| 72110 | 1.5% | 3,532 | 3,175 | $96K | |
| 64721 | 1.4% | 408 | 379 | $94K | |
| 72100 | <1% | 2,720 | 2,412 | $48K | |
| 80305 | <1% | 8,015 | 6,862 | $45K | |
| 95886 | <1% | 659 | 475 | $39K |
68 more codes
| 73610 | <1% | 1,877 | $35K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,027 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,983 | $33K |
| 72050 | <1% | 769 | $22K | |
| 99152 | <1% | 2,652 | $22K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 2,052 | $20K |
| 73100 | <1% | 1,357 | $19K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 1,564 | $16K |
| 95909 | <1% | 185 | $16K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,010 | $15K |
| 73502 | <1% | 849 | $14K | |
| 73564 | <1% | 880 | $14K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 578 | $13K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 232 | $12K |
| 73140 | <1% | 647 | $12K | |
| 11721 | <1% | 982 | $10K | |
| 73030 | <1% | 893 | $9K | |
| 73562 | <1% | 913 | $8K | |
| 64493 | <1% | 91 | $8K | |
| 20526 | <1% | 218 | $6K | |
| 64484 | <1% | 102 | $5K | |
| 64494 | <1% | 94 | $4K | |
| 73130 | <1% | 236 | $4K | |
| 29075 | <1% | 68 | $3K | |
| 72040 | <1% | 351 | $3K | |
| 64479 | <1% | 28 | $3K | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 714 | $3K |
| 73560 | <1% | 325 | $2K | |
| 22853 | <1% | 31 | $2K | |
| 29405 | <1% | 48 | $2K | |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | <1% | 95 | $2K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 30 | $1K |
| 20605 | <1% | 238 | $1K | |
| 73070 | <1% | 188 | $1K | |
| 72082 | <1% | 33 | $1K | |
| 73620 | <1% | 85 | $1K | |
| 20552 | <1% | 34 | $841.26 | |
| 29065 | <1% | 15 | $765.90 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 215 | $696.82 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 121 | $587.98 |
| 73600 | <1% | 24 | $477.32 | |
| 99283 | Emergency room visit (moderate) | <1% | 45 | $471.10 |
| 99284 | Emergency room visit (serious) | <1% | 44 | $451.17 |
| 97750 | <1% | 22 | $448.73 | |
| 64447 | <1% | 229 | $323.84 | |
| 76942 | <1% | 336 | $205.83 | |
| 73590 | <1% | 32 | $88.64 | |
| 64415 | <1% | 53 | $68.14 | |
| 01810 | <1% | 27 | $34.15 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 32 | $5.60 |
| 1036F | 0% | 185 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 182 | $0.00 |
| 1006F | 0% | 226 | $0.00 | |
| 64445 | 0% | 18 | $0.00 | |
| 20550 | 0% | 28 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 38 | $0.00 |
| 01400 | 0% | 50 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 38 | $0.00 |
| 1101F | 0% | 14 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 536 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 207 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 117 | $0.00 |
| 4040F | 0% | 16 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 307 | $0.00 |
| 4004F | 0% | 38 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 502 | $0.00 |
| 27447 | 0% | 26 | $0.00 | |
| 00670 | 0% | 25 | $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 officialHATHAWAY, BARBARA (CREDENTIALING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Surgery One Anesthesia, LLC | Fort Wayne, IN | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.