Mercer Bucks Orthopaedics P.C.
Mercer Bucks Orthopaedics P.C. was paid $4.72M by Medicaid between Jan 2018 and Aug 2023, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoMERCER BUCKS ORTHOPAEDICS P.C.
HAMILTON, NJ 08691
HAMILTON, NJ 08691
33aNPI1801843511assigned 05/28/2006
33bProvider typeSpecialist
28Total paid$4.72M
24GClaims42,124
24DCodes billed31
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#12 of 378
Median peer was paid$63K
This provider vs. median75×
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 | 14,120 | $1.43M | |
| 2019 | 12,729 | $1.35M | |
| 2020 | 7,624 | $994K | |
| 2021 | 48 | $2K | |
| 2022 | 3,162 | $398K | |
| 2023 | 4,441 | $548K |
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 | 59% | 22,797 | 20,600 | $2.76M |
| 20610 | 11% | 5,648 | 3,438 | $498K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.0% | 1,577 | 1,511 | $332K |
| 99243 | 6.9% | 1,607 | 1,607 | $326K | |
| 98927 | 3.4% | 1,942 | 1,629 | $161K | |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 2.3% | 295 | 152 | $109K |
| 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 | 1.9% | 458 | 413 | $91K |
| 95886 | 1.9% | 690 | 646 | $87K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 850 | 761 | $64K |
| 98926 | 1.1% | 773 | 668 | $51K | |
| 73560 | 1.1% | 1,274 | 967 | $51K | |
| 95909 | <1% | 212 | 202 | $45K |
19 more codes
| 73630 | <1% | 943 | $39K | |
| 72100 | <1% | 416 | $20K | |
| 73610 | <1% | 318 | $15K | |
| 98928 | <1% | 83 | $9K | |
| 95910 | <1% | 25 | $8K | |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 28 | $7K |
| 20552 | <1% | 130 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 28 | $6K |
| 73564 | <1% | 105 | $4K | |
| 76942 | <1% | 40 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,055 | $3K |
| 73100 | <1% | 70 | $3K | |
| 64483 | <1% | 17 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 387 | $2K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 261 | $2K |
| 73030 | <1% | 39 | $2K | |
| 20550 | <1% | 16 | $1K | |
| 73562 | <1% | 26 | $1K | |
| 73502 | <1% | 14 | $798.05 |
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 officialCODJOE, PAUL (PRESIDENT)