Physician
Capital Region Orthopaedic Associates, PC
Capital Region Orthopaedic Associates, PC was paid $3.82M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoCAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC
ALBANY, NY 12206
ALBANY, NY 12206
33aNPI1871533216assigned 06/07/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$3.82M
24GClaims51,816
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in New York
Rank by total paid#8 of 429
Median peer was paid$4K
This provider vs. median994×
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 | 1,751 | $122K | |
| 2019 | 4,214 | $304K | |
| 2020 | 6,791 | $490K | |
| 2021 | 9,791 | $758K | |
| 2022 | 10,075 | $751K | |
| 2023 | 11,314 | $829K | |
| 2024incomplete | 7,880 | $569K |
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 | 54% | 29,869 | 28,144 | $2.07M |
| 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 | 17% | 6,664 | 6,413 | $662K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 5,730 | 5,723 | $544K |
| 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 | 6.6% | 1,853 | 1,850 | $252K |
| 73630 | 2.0% | 2,628 | 2,279 | $78K | |
| 72082 | 1.5% | 926 | 923 | $57K | |
| 73610 | 1.3% | 1,557 | 1,370 | $49K | |
| 99223 | Prolong inpt eval add15 m | <1% | 212 | 209 | $29K |
| 73562 | <1% | 407 | 324 | $14K | |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 50 | 50 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 223 | 210 | $9K |
| 72170 | <1% | 315 | 311 | $8K |
18 more codes
| 64483 | <1% | 82 | $8K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 102 | $5K |
| 20611 | <1% | 61 | $5K | |
| 20610 | <1% | 84 | $5K | |
| 72081 | <1% | 95 | $4K | |
| 77077 | <1% | 65 | $3K | |
| 73100 | <1% | 81 | $2K | |
| 99051 | <1% | 308 | $2K | |
| 72100 | <1% | 63 | $2K | |
| 73564 | <1% | 47 | $2K | |
| 73130 | <1% | 44 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 272 | $688.71 |
| 73502 | <1% | 12 | $473.16 | |
| 72080 | <1% | 14 | $397.46 | |
| 73110 | <1% | 12 | $392.99 | |
| 73090 | <1% | 14 | $332.68 | |
| 73120 | <1% | 12 | $312.12 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 14 | $114.86 |
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 officialAKULLIAN, DIANE (BUSINESS OFFICE MANAGR)