Orthopaedics PC

Orthopaedics PC was paid $24K by Medicaid between Jan 2018 and Dec 2020, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider infoORTHOPAEDICS PC
SPENCER, IA 51301

33aNPI1861463473assigned 01/31/2006

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$24K

24GClaims1,218

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Iowa

Rank by total paid#185 of 344

Median peer was paid$29K

This provider vs. median0.8×

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	579	$10K
2019	387	$8K
2020	252	$6K

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	89%	1,000	817	$22K
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	11%	71	56	$3K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	147	115	$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 officialPRUITT, ALEXANDER (PRESIDENT)