Physician
Orthopaedic Surgery & Sports Med Specialist of Hampton RDS PC
Orthopaedic Surgery & Sports Med Specialist of Hampton RDS PC was paid $3.11M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 97112, Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination — 24% of everything it billed.
33Billing provider infoORTHOPAEDIC SURGERY & SPORTS MED SPECIALIST OF HAMPTON RDS PC
NEWPORT NEWS, VA 23606
NEWPORT NEWS, VA 23606
33aNPI1801957378assigned 12/12/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$3.11M
24GClaims77,053
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Virginia
Rank by total paid#2 of 79
Median peer was paid$6K
This provider vs. median513×
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 | 4,791 | $134K | |
| 2019 | 11,220 | $392K | |
| 2020 | 11,379 | $440K | |
| 2021 | 14,999 | $593K | |
| 2022 | 14,560 | $601K | |
| 2023 | 12,329 | $595K | |
| 2024incomplete | 7,775 | $358K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 24% | 14,048 | 5,922 | $759K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 14,403 | 12,951 | $652K |
| 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% | 10,331 | 9,184 | $601K |
| 20611 | 7.8% | 5,030 | 3,188 | $244K | |
| 72114 | 5.2% | 4,212 | 3,876 | $163K | |
| 99205 | Prolong outpt/office vis | 3.0% | 843 | 747 | $93K |
| 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 | 2.9% | 935 | 882 | $90K |
| 76942 | 2.6% | 2,352 | 2,048 | $81K | |
| 72170 | 2.0% | 3,264 | 3,008 | $62K | |
| 20551 | 1.7% | 1,590 | 1,193 | $52K | |
| 72052 | 1.6% | 1,261 | 1,186 | $51K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.5% | 3,215 | 1,490 | $47K |
21 more codes
| 73564 | 1.3% | 1,399 | $41K | |
| 64483 | <1% | 214 | $31K | |
| 95886 | <1% | 304 | $30K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 4,388 | $28K |
| 97161 | <1% | 291 | $16K | |
| 97162 | <1% | 205 | $12K | |
| 73630 | <1% | 438 | $10K | |
| 73030 | <1% | 480 | $10K | |
| 20550 | <1% | 331 | $10K | |
| 97014 | <1% | 2,174 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 121 | $7K |
| 72100 | <1% | 268 | $7K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 4,614 | $4K |
| 62321 | <1% | 12 | $2K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 191 | $2K |
| 73130 | <1% | 34 | $958.42 | |
| 95908 | <1% | 13 | $748.17 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 39 | $501.19 |
| 77080 | <1% | 13 | $394.16 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 19 | $71.75 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 21 | $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 officialCARLSON, JEFFREY (MANAGING PARTNER)