Physician
Orthopedic Specialists of North America, PLLC
Orthopedic Specialists of North America, PLLC was paid $864K by Medicaid between Jan 2018 and May 2022, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
AVONDALE, AZ 85392
AVONDALE, AZ 85392
33aNPI1770805590assigned 02/20/2010
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$864K
24GClaims20,507
24DCodes billed27
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Arizona
Rank by total paid#4 of 48
Median peer was paid$25K
This provider vs. median35×
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 | 3,747 | $168K | |
| 2019 | 5,289 | $222K | |
| 2020 | 5,591 | $204K | |
| 2021 | 4,708 | $207K | |
| 2022 | 1,172 | $63K |
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 | 23% | 5,061 | 4,499 | $203K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 19% | 3,954 | 1,182 | $161K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 2,574 | 2,406 | $159K |
| 20610 | 11% | 2,310 | 1,805 | $91K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 6.4% | 1,176 | 350 | $55K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 4.5% | 1,746 | 572 | $39K |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 4.2% | 30 | 27 | $37K |
| 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 | 4.2% | 720 | 634 | $36K |
| J3490 | Unclassified drugs | 2.6% | 23 | 17 | $23K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.8% | 443 | 119 | $15K |
| 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 | 1.1% | 98 | 90 | $10K |
| 73562 | <1% | 476 | 375 | $8K |
15 more codes
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | <1% | 42 | $6K |
| 73110 | <1% | 234 | $5K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 597 | $4K |
| 97161 | <1% | 37 | $3K | |
| 73630 | <1% | 165 | $2K | |
| 72110 | <1% | 82 | $2K | |
| 73610 | <1% | 106 | $2K | |
| 76942 | <1% | 44 | $1K | |
| 97165 | <1% | 30 | $1K | |
| 20550 | <1% | 15 | $555.90 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 147 | $407.07 |
| 73130 | <1% | 13 | $324.33 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 13 | $148.09 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 13 | $126.99 |
| 99072 | 0% | 358 | $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 officialBHATT, RAJAN (AUTHORIZED OFFICIAL)
Parent organizationORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
| Provider | Location | Paid |
|---|---|---|
| Orthopedic Specialists of North America, PLLC | Phoenix, AZ | $1.52M |
| Orthopedic Specialists of North America, PLLC | Glendale, AZ | $307K |
| Orthopedic Specialists of North America PLLC | Gilbert, AZ | $99K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.