Supplier
Orthopaedic Institute of Ohio, INC
Orthopaedic Institute of Ohio, INC was paid $1.47M by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoORTHOPAEDIC INSTITUTE OF OHIO, INC
LIMA, OH 45804
LIMA, OH 45804
33aNPI1902886492assigned 01/19/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.47M
24GClaims49,515
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Ohio
Rank by total paid#89 of 420
Median peer was paid$62K
This provider vs. median24×
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 | 5,387 | $170K | |
| 2019 | 5,496 | $167K | |
| 2020 | 4,370 | $123K | |
| 2021 | 6,942 | $196K | |
| 2022 | 8,700 | $255K | |
| 2023 | 11,376 | $335K | |
| 2024incomplete | 7,244 | $228K |
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 | 62% | 29,218 | 26,191 | $907K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.7% | 2,544 | 2,311 | $113K |
| 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 | 6.8% | 2,373 | 2,208 | $101K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 3.3% | 297 | 282 | $49K |
| 73630 | 3.2% | 3,198 | 2,508 | $47K | |
| 95886 | 2.8% | 1,160 | 1,089 | $42K | |
| 20610 | 2.1% | 796 | 594 | $31K | |
| 72110 | 1.8% | 1,057 | 999 | $26K | |
| 72100 | 1.6% | 1,461 | 1,378 | $24K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 830 | 758 | $16K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 760 | 250 | $14K |
| 73560 | <1% | 814 | 653 | $12K |
31 more codes
| 73610 | <1% | 797 | $12K | |
| 73562 | <1% | 727 | $10K | |
| 72040 | <1% | 667 | $10K | |
| 29881 | <1% | 26 | $7K | |
| 73564 | <1% | 323 | $6K | |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | <1% | 481 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 165 | $5K |
| 29405 | <1% | 85 | $5K | |
| 95911 | <1% | 52 | $5K | |
| 73502 | <1% | 204 | $4K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 156 | $3K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 26 | $3K |
| 73600 | <1% | 171 | $2K | |
| 22853 | <1% | 13 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 27 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 318 | $1K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 67 | $1K |
| 73110 | <1% | 69 | $1K | |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 24 | $1K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 70 | $820.67 |
| 29515 | <1% | 13 | $629.34 | |
| 11721 | <1% | 55 | $616.81 | |
| 72020 | <1% | 43 | $614.69 | |
| 73030 | <1% | 49 | $601.99 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 72 | $266.46 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 14 | $150.50 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 15 | $148.67 |
| 99152 | <1% | 27 | $123.76 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 16 | $3.71 |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | 0% | 26 | $0.00 |
| 99024 | 0% | 209 | $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 officialACKERMAN, KATHY (ADMINISTRATOR)
Parent organizationORTHOPAEDIC INSTITUTE OF OHIO, INC