Physician
Orthopaedic & Sports Medicine Center, INC
Orthopaedic & Sports Medicine Center, INC was paid $22K by Medicaid between Jan 2018 and Jan 2020, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoORTHOPAEDIC & SPORTS MEDICINE CENTER, INC
CIRCLEVILLE, OH 43113
CIRCLEVILLE, OH 43113
33aNPI1801979976assigned 10/23/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$22K
24GClaims1,888
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Ohio
Rank by total paid#27 of 60
Median peer was paid$13K
This provider vs. median1.7×
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 | 894 | $10K | |
| 2019 | 960 | $12K | |
| 2020 | 34 | $380.55 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 600 | 474 | $12K |
| 20610 | 30% | 601 | 353 | $7K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 8.4% | 584 | 459 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 74 | 55 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 13 | 13 | $667.15 |
| 99024 | 0% | 16 | 13 | $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 officialTOSCANO, CHRISTINE (DIRECTOR)