Four County Orthopedics PA

Four County Orthopedics PA was paid $24K by Medicaid between Jan 2018 and Nov 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoFOUR COUNTY ORTHOPEDICS PA
OXFORD, NC 27565

33aNPI1801343819assigned 09/07/2016

33bProvider typeOrthopaedic Surgery Physician

28Total paid$24K

24GClaims1,353

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other Orthopaedic Surgery Physician providers in North Carolina

Rank by total paid#27 of 66

Median peer was paid$19K

This provider vs. median1.3×

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

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	860	$14K
2019	493	$10K

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	80%	1,003	629	$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	10%	62	43	$2K
20610		9.1%	100	54	$2K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	188	124	$91.98

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 officialNEGRON-MEDINA, RAFAEL (PRESIDENT)