Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Community Orthopedics & Sports Medicine, PC

Community Orthopedics & Sports Medicine, PC was paid $686K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoCOMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC
SAINT LOUIS, MO 63131
33aNPI1902195837assigned 03/31/2011
28Total paid$686K
24GClaims20,704
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Missouri

Rank by total paid#1 of 67
Median peer was paid$7K
This provider vs. median105×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018821$25K
2019712$22K
20201,603$51K
20212,673$84K
20223,287$111K
20235,758$201K
2024incomplete5,850$192K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 74% 13,213 8,790 $509K
62322 7.2% 854 704 $49K
20610 6.2% 2,438 1,653 $42K
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 3.9% 548 410 $27K
20553 2.8% 1,297 784 $19K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2.8% 563 495 $19K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 1,317 1,043 $6K
64483 <1% 69 60 $6K
62323 <1% 72 63 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 120 77 $2K
20552 <1% 131 92 $2K
99306 Prolong nursin fac eval 15m <1% 15 14 $546.20
2 more codes
20551 <1% 29 $428.09
J1040 Injection, methylprednisolone acetate, 80 mg <1% 38 $64.22

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 officialCHIEN, TONY (OWNER)