Physician
Orthopedic Associates, LTD
Orthopedic Associates, LTD was paid $291K by Medicaid between Feb 2019 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoORTHOPEDIC ASSOCIATES, LTD
FISHERSVILLE, VA 22939
FISHERSVILLE, VA 22939
33aNPI1750330940assigned 05/08/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$291K
24GClaims6,043
24DCodes billed5
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Virginia
Rank by total paid#13 of 79
Median peer was paid$6K
This provider vs. median48×
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 | |
|---|---|---|---|
| 2019 | 700 | $24K | |
| 2020 | 585 | $29K | |
| 2021 | 1,239 | $51K | |
| 2022 | 1,015 | $52K | |
| 2023 | 1,422 | $77K | |
| 2024incomplete | 1,082 | $59K |
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 | 62% | 4,322 | 3,616 | $182K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 1,120 | 874 | $58K |
| 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 | 16% | 493 | 448 | $47K |
| 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 | 1.8% | 83 | 67 | $5K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 25 | 25 | $99.51 |
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 officialGALFORD, RENIE (ASSISTANT OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Augusta Health Care for Women, PLC | Fishersville, VA | $897K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.