Southern Bone and Joint Center Associates

Southern Bone and Joint Center Associates was paid $5K by Medicaid between Jan 2018 and Jan 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.

33Billing provider infoSOUTHERN BONE AND JOINT CENTER ASSOCIATES
MCALLEN, TX 78501

33aNPI1932389756assigned 11/08/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$5K

24GClaims664

24DCodes billed2

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Texas

Rank by total paid#68 of 105

Median peer was paid$11K

This provider vs. median0.4×

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	374	$2K
2019	277	$3K
2020	13	$265.20

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	78%	474	442	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	22%	190	183	$996.80

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 officialTIJMES, JORGE (MEDICAL DIRECTOR)