Physician
Sunnyvale Orthopaedic and Rehabilitation Clinic LLC
Sunnyvale Orthopaedic and Rehabilitation Clinic LLC was paid $1.13M by Medicaid between Sep 2021 and Dec 2024, across 26 billing codes. Its largest line is 99050, — 23% of everything it billed.
33Billing provider infoSUNNYVALE ORTHOPAEDIC AND REHABILITATION CLINIC LLC
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
33aNPI1932708492assigned 10/25/2020
33bProvider typeOrthopaedic Surgery Physician
28Total paid$1.13M
24GClaims32,593
24DCodes billed26
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Pennsylvania
Rank by total paid#4 of 291
Median peer was paid$7K
This provider vs. median152×
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 | |
|---|---|---|---|
| 2021 | 3,241 | $59K | |
| 2022 | 10,646 | $318K | |
| 2023 | 11,130 | $460K | |
| 2024incomplete | 7,576 | $295K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99050 | 23% | 2,398 | 1,934 | $263K | |
| 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 | 19% | 4,232 | 1,947 | $219K |
| 99491 | Ccm add 20min | 10% | 1,827 | 1,765 | $117K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 8.3% | 1,938 | 1,377 | $94K |
| 99407 | 6.5% | 4,187 | 1,811 | $73K | |
| 99401 | 4.8% | 5,470 | 2,258 | $54K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 1,565 | 1,470 | $53K |
| 99340 | 4.6% | 797 | 572 | $53K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.6% | 596 | 423 | $41K |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | 3.2% | 297 | 202 | $36K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.8% | 1,043 | 695 | $32K |
| 99437 | 2.7% | 447 | 447 | $31K |
14 more codes
| 96127 | 1.4% | 4,192 | $16K | |
| 80305 | 1.2% | 1,341 | $14K | |
| 97012 | 1.0% | 862 | $11K | |
| 97032 | <1% | 319 | $7K | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 224 | $7K |
| 99205 | Prolong outpt/office vis | <1% | 32 | $3K |
| 97010 | <1% | 197 | $3K | |
| 99490 | Ccm add 20min | <1% | 159 | $2K |
| 97026 | <1% | 260 | $1K | |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | <1% | 21 | $562.50 |
| 98940 | <1% | 43 | $557.05 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 45 | $556.40 |
| 97124 | <1% | 32 | $493.42 | |
| 99406 | <1% | 69 | $487.03 |
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 officialMKPARU, ANULI (OWNER)