Active NPI 1104044700 Individual Practitioner Male Practitioner

Dr. Paul Matthew Balthrop , MD

Orthopaedic Surgery • Savannah, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Balthrop, MD is a certified Orthopaedic Surgery practicing in Savannah, GA. With approximately 19 years of clinical experience since graduating from University Of Louisville School Of Medicine in 2007, Dr. Balthrop delivers high-quality medical care to the local community at 4750 WATERS AVE STE 202.

Dr. Balthrop maintains professional affiliations with Effingham Rehab Services, Llc, Savannah Multispecialty Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital inpatient care per day, x-ray of thigh bone, minimum 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4750 Waters Ave Ste 202

Savannah, GA 31404

Telephone 9123507412

Fax 9123507297

Associated Practice Facility / Clinic

🏢 Mppg, Inc. Facility NPI 1497822324

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Savannah, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -2.4 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

45 Specialists

Practicing in Savannah, GA (797 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balthrop (19 Years) 19 Yrs

Savannah Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	34	$226.06	$119.46
99221 Initial hospital inpatient care per day, typically 30 minutes	42	42	$200.90	$77.07
73552 X-ray of thigh bone, minimum 2 views	30	18	$85.30	$23.73
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$152.90	$83.43
72190 X-ray of pelvis, minimum of 3 views	21	11	$96.10	$26.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$288.38	$124.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73552 X-ray of thigh bone, minimum 2 views	38	17	$60.00	$23.85
73560 X-ray of knee, 1-2 views	35	24	$99.57	$23.96
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$195.00	$79.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$205.00	$119.59
72190 X-ray of pelvis, minimum of 3 views	29	15	$94.00	$26.77
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$139.00	$83.50
73610 X-ray of ankle, minimum of 3 views	26	14	$73.00	$25.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$207.00	$105.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$265.00	$124.53
20694 Removal of external bone fixation under anesthesia	12	12	$996.00	$166.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73552 X-ray of thigh bone, minimum 2 views	52	27	$62.65	$23.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	42	$265.00	$127.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	29	$205.00	$121.01
73590 X-ray of lower leg, 2 views	32	12	$59.00	$21.45
73610 X-ray of ankle, minimum of 3 views	26	11	$73.00	$25.64
72190 X-ray of pelvis, minimum of 3 views	23	11	$94.00	$27.11
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$139.00	$85.53
73560 X-ray of knee, 1-2 views	22	18	$92.50	$24.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$207.00	$106.01
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$3694.00	$1120.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73552 X-ray of thigh bone, minimum 2 views	39	21	$67.00	$24.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	34	$205.00	$123.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$265.00	$130.78
73590 X-ray of lower leg, 2 views	29	14	$62.45	$22.22
73610 X-ray of ankle, minimum of 3 views	28	13	$73.00	$25.13
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$139.00	$84.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$207.00	$106.82
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$195.00	$97.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	38	38	$195.00	$95.84
73552 X-ray of thigh bone, minimum 2 views	33	19	$60.00	$22.79
73610 X-ray of ankle, minimum of 3 views	28	13	$73.00	$21.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$389.00	$199.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$207.00	$102.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$205.00	$99.39
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$139.00	$70.58
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$3694.00	$1217.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	74	73	$195.00	$99.23
73552 X-ray of thigh bone, minimum 2 views	31	24	$60.00	$21.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$265.00	$135.14
73610 X-ray of ankle, minimum of 3 views	21	17	$73.00	$21.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$205.00	$100.39
73502 X-ray of hip, 2-3 views	18	15	$79.00	$28.74
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$139.00	$67.16
27245 Treatment of broken neck of thigh bone with bone implant	15	14	$3694.00	$1272.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$207.00	$101.09
71046 X-ray of chest, 2 views	14	12	$60.00	$18.74
73560 X-ray of knee, 1-2 views	14	11	$65.00	$20.10
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$3551.00	$1196.82
20694 Removal of external bone fixation under anesthesia	11	11	$996.00	$233.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	85	$260.62	$132.97
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$137.32	$69.54
27245 Treatment of broken neck of thigh bone with bone implant	20	20	$3794.65	$1213.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$203.53	$102.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$205.73	$97.49
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	14	$3581.29	$1160.09
27197 Closed treatment of broken and/or dislocated pelvis and/or sacrum	11	11	$348.00	$101.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	59	$236.00	$132.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$183.00	$102.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$188.00	$102.40
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$4365.00	$1203.05
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$3975.00	$1168.53

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License GA 070040

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License FL ME111853

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

GA1467 (SC)

Medicaid State Provider ID

004947200 (FL)

Medicaid State Provider ID

003135073A (GA)

Commercial Insurance / Payer ID Railroad Medicare

P01198989 (GA)

Hospital & Practice Group Affiliations

Savannah Multispecialty Associates Llc

4750 Waters Ave, Savannah, GA 314046278

Phone: 9123507020

Effingham Rehab Services, Llc

123 Canal St, Pooler, GA 313224104

Phone: 9129881283

Effingham Rehab Services, Llc

123 Canal St, Pooler, GA 313224104

Phone: 9129881283

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners

Jackie Kehrli , FNP-BC

Nurse Practitioner - Family

NPI 1003216045

Family Nurse Practitioner (Board Certified)

Dr. Paul Rainier , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1033313788

Doctor of Medicine (M.D.)

Paul Bretton

Physician Assistant - Surgical

NPI 1033698428

Dr. Craig Denlinger , MD

Orthopaedic Surgery

NPI 1114147303

Doctor of Medicine (M.D.)

Ella Lyons , NP-C

Nurse Practitioner

NPI 1114979465

Nurse Practitioner (Certified)

Kalli Kossick

Physician Assistant - Surgical

NPI 1144162884

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location August 10, 2018

Registered at 4750 WATERS AVE STE 202, SAVANNAH, GA 31404 (Tel: 9123507412)

📍

Updated Business Mailing Address August 10, 2018

Registered at 4750 WATERS AVE STE 202, SAVANNAH, GA 314046278 (Tel: 9123507412)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2018

Orthopaedic Surgery (License #ME111853 in FL)

✅

NPI Profile Active September 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2013

Registered at 4750 WATERS AVE, SUITE 202, SAVANNAH, GA 314046200 (Tel: 9123507412)

📍

Updated Business Mailing Address September 10, 2013

Registered at 4750 WATERS AVE, SUITE 202, SAVANNAH, GA 314046200 (Tel: 9123507412)

👤

Provider Name / Credentials Updated September 10, 2013

Recorded as PAUL BALTHROP, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2013

Orthopaedic Surgery (License #070040 in GA)

🟢

Initial NPI Registration & Enumeration April 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104044700

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 22, 2007

Last Update: August 10, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4750 Waters Ave Ste 202

Savannah, GA 314046278

Phone: 9123507412

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.