Orion Healthcare LLC
Orion Healthcare LLC was paid $2.25M by Medicaid between Jan 2018 and Nov 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoORION HEALTHCARE LLC
MAPLEWOOD, NJ 07040
MAPLEWOOD, NJ 07040
33aNPI1952859522assigned 09/13/2016
33bProvider typeSpecialist
28Total paid$2.25M
24GClaims86,672
24DCodes billed70
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#27 of 378
Median peer was paid$63K
This provider vs. median36×
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 | 12,704 | $463K | |
| 2019 | 13,381 | $375K | |
| 2020 | 12,124 | $294K | |
| 2021 | 11,715 | $297K | |
| 2022 | 16,313 | $309K | |
| 2023 | 12,197 | $280K | |
| 2024incomplete | 8,238 | $235K |
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 | 48% | 31,160 | 22,749 | $1.08M |
| 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 | 20% | 10,708 | 9,504 | $450K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.0% | 7,049 | 1,588 | $158K |
| 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% | 969 | 968 | $88K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.7% | 2,726 | 2,560 | $82K |
| 93000 | 2.5% | 5,240 | 4,943 | $55K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.8% | 205 | 205 | $41K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.8% | 2,098 | 1,969 | $40K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 676 | 331 | $32K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 1,154 | 1,009 | $24K |
| 90682 | 1.0% | 647 | 602 | $23K | |
| 99223 | Prolong inpt eval add15 m | <1% | 656 | 545 | $22K |
58 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 374 | $20K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 448 | $19K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 393 | $14K |
| 90837 | Psychotherapy session, about an hour | <1% | 397 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 461 | $14K |
| 99401 | <1% | 573 | $11K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 932 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,896 | $10K |
| 93923 | <1% | 163 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,205 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 126 | $5K |
| 90688 | <1% | 254 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 141 | $3K |
| 82962 | <1% | 5,199 | $3K | |
| 99490 | Ccm add 20min | <1% | 901 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 45 | $1K |
| 96132 | <1% | 80 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 19 | $1K |
| 95957 | <1% | 15 | $997.53 | |
| 95816 | <1% | 15 | $925.49 | |
| 99305 | <1% | 26 | $845.00 | |
| 90662 | <1% | 123 | $758.02 | |
| 95923 | <1% | 34 | $667.68 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 398 | $657.79 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $652.68 |
| 99442 | <1% | 432 | $627.64 | |
| 90686 | <1% | 46 | $604.47 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 12 | $599.54 |
| 99406 | <1% | 98 | $561.61 | |
| 99348 | <1% | 14 | $527.21 | |
| 96116 | <1% | 35 | $498.48 | |
| 92653 | <1% | 15 | $432.65 | |
| 96138 | <1% | 80 | $374.07 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 345 | $366.74 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 60 | $345.19 |
| G0008 | Administration of influenza virus vaccine | <1% | 163 | $338.33 |
| 99454 | <1% | 125 | $328.36 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 28 | $302.10 |
| 93922 | <1% | 13 | $222.90 | |
| 95930 | <1% | 15 | $208.20 | |
| 94010 | <1% | 13 | $203.95 | |
| 99457 | <1% | 430 | $114.71 | |
| 93040 | <1% | 15 | $98.53 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,236 | $39.00 |
| 1160F | <1% | 446 | $10.00 | |
| 1125F | <1% | 229 | $10.00 | |
| 1159F | <1% | 445 | $9.00 | |
| 99453 | <1% | 13 | $8.72 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 132 | $0.00 |
| 99072 | 0% | 322 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 84 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 39 | $0.00 |
| 99439 | 0% | 20 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 26 | $0.00 |
| 3008F | 0% | 65 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 85 | $0.00 |
| 3048F | 0% | 12 | $0.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 61 | $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 officialRAMDAS, KUMAR (DOCTOR/OWNER)