Active NPI 1720021678 Individual Practitioner Male Practitioner

Dr. Paul K Ritchie , MD

Orthopaedic Surgery • American Fork, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Ritchie, MD is a certified Orthopaedic Surgery practicing in American Fork, UT. With approximately 28 years of clinical experience since graduating from Wake Forest University School Of Medicine in 1998, Dr. Ritchie delivers high-quality medical care to the local community at 1184 E 80 N.

Dr. Ritchie is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1184 E 80 N

American Fork, UT 840032906

Telephone 8017633885

Fax 8017633887

Associated Practice Facility / Clinic

🏢 Human Performance Institute Pc Facility NPI 1053478826

Medicare Profile & Education

Medical School

Wake Forest University School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in American Fork, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +3.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

4 Specialists

Practicing in American Fork, UT (277 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ritchie (28 Years) 28 Yrs

American Fork Specialty Average (25.0 Years) 25.0 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
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	75	27	$12.00	$6.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	39	$215.61	$119.40
20610 Aspiration and/or injection of fluid from large joint	60	29	$163.50	$60.35
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	43	28	$34.84	$14.95
73030 X-ray of shoulder, minimum of 2 views	29	24	$102.93	$32.43
80048 Blood test, basic group of blood chemicals (calcium, total)	16	16	$18.00	$8.29
36415 Insertion of needle into vein for collection of blood sample	15	15	$15.80	$8.65
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$1422.00	$161.67
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	12	$13.77	$7.61
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2277.82	$1013.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	146	40	$12.19	$6.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	52	$211.66	$119.78
20610 Aspiration and/or injection of fluid from large joint	67	41	$181.61	$65.91
73030 X-ray of shoulder, minimum of 2 views	33	31	$100.88	$32.51
73562 X-ray of knee, 3 views	19	17	$117.79	$38.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$186.14	$106.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	87	30	$13.84	$6.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	44	$208.86	$121.41
20610 Aspiration and/or injection of fluid from large joint	45	29	$169.73	$64.95
73030 X-ray of shoulder, minimum of 2 views	36	30	$98.78	$31.95
99213 Established patient office or other outpatient visit, typically 15 minutes	25	20	$147.96	$87.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$187.00	$107.23
36415 Insertion of needle into vein for collection of blood sample	19	17	$10.00	$2.97
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	16	$14.00	$7.69
80048 Blood test, basic group of blood chemicals (calcium, total)	14	13	$18.00	$8.37
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$1403.85	$166.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	81	32	$12.00	$6.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	40	$207.43	$123.91
20610 Aspiration and/or injection of fluid from large joint	55	34	$169.69	$61.04
73030 X-ray of shoulder, minimum of 2 views	38	35	$96.45	$31.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$282.00	$162.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$185.86	$108.43
73562 X-ray of knee, 3 views	14	11	$113.71	$38.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	68	27	$12.00	$6.72
99213 Established patient office or other outpatient visit, typically 15 minutes	48	35	$134.25	$72.87
20610 Aspiration and/or injection of fluid from large joint	37	28	$165.41	$60.51
73030 X-ray of shoulder, minimum of 2 views	33	29	$89.58	$28.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$197.00	$99.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$197.00	$104.87
29823 Removal of extensive shoulder joint tissue using an endoscope	15	15	$1485.37	$335.57
36415 Insertion of needle into vein for collection of blood sample	14	14	$10.00	$3.00
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$1552.94	$177.33
80048 Blood test, basic group of blood chemicals (calcium, total)	12	12	$18.00	$8.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	12	$15.92	$7.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	76	27	$11.00	$6.79
20610 Aspiration and/or injection of fluid from large joint	50	28	$181.44	$59.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	26	$181.68	$106.84
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$122.83	$72.83
73030 X-ray of shoulder, minimum of 2 views	21	19	$82.52	$27.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$182.33	$106.64
36415 Insertion of needle into vein for collection of blood sample	17	15	$10.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	16	14	$15.19	$8.46
73562 X-ray of knee, 3 views	13	12	$100.77	$30.25
80048 Blood test, basic group of blood chemicals (calcium, total)	13	12	$18.00	$9.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	124	32	$11.00	$7.13
20610 Aspiration and/or injection of fluid from large joint	59	32	$205.93	$65.70
99213 Established patient office or other outpatient visit, typically 15 minutes	52	38	$122.00	$67.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	37	$180.00	$104.54
73030 X-ray of shoulder, minimum of 2 views	22	18	$81.00	$26.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$72.00	$42.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$181.00	$101.78
29823 Removal of extensive shoulder joint tissue using an endoscope	15	15	$1387.00	$207.08
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$1412.00	$169.80
80048 Blood test, basic group of blood chemicals (calcium, total)	12	12	$18.00	$10.23
36415 Insertion of needle into vein for collection of blood sample	12	12	$10.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$16.00	$9.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	164	47	$11.00	$6.61
20610 Aspiration and/or injection of fluid from large joint	95	50	$158.09	$57.65
99213 Established patient office or other outpatient visit, typically 15 minutes	67	44	$116.00	$68.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	35	$69.00	$41.87
73030 X-ray of shoulder, minimum of 2 views	38	28	$80.00	$27.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	30	$170.00	$103.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$172.00	$101.78
36415 Insertion of needle into vein for collection of blood sample	16	16	$10.00	$2.94
73564 X-ray of knee, 4 or more views	15	11	$109.00	$35.42
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$1220.00	$179.58
80048 Blood test, basic group of blood chemicals (calcium, total)	11	11	$20.00	$11.37

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License UT 5694941-1205

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

870281028000 (UT)

Commercial Insurance / Payer ID Ihc

107029565101 (UT)

Commercial Insurance / Payer ID Palmetto Gba

P00202105

Commercial Insurance / Payer ID United Healthcare

09-00764 (UT)

Commercial Insurance / Payer ID Altius

222391 (UT)

Commercial Insurance / Payer ID Pehp

78935 (UT)

Commercial Insurance / Payer ID Dmba

86345 (UT)

Commercial Insurance / Payer ID Emia

870281028PKR (UT)

Hospital & Practice Group Affiliations

Revere Health Pc

1184 E 80, American Fork, UT 840032906

Phone: 8017633885

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Mark Sanderson , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1073604609

Doctor of Medicine (M.D.)

Andrew Ward , PA

Physician Assistant

NPI 1093138976

Physician Assistant

Dr. Michael Callahan , MD

Orthopaedic Surgery

NPI 1104864651

Doctor of Medicine (M.D.)

Dr. Alan Banks , MD

Orthopaedic Surgery

NPI 1275553612

Doctor of Medicine (M.D.)

Robert Sumpter , PA-C

Physician Assistant

NPI 1316064421

Physician Assistant (Certified)

Kendra Parker

Physician Assistant - Surgical

NPI 1447209473

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location November 26, 2018

Registered at 1184 E 80 N, AMERICAN FORK, UT 840032906 (Tel: 8017633885)

✅

NPI Profile Active October 22, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 22, 2007

Registered at 1055 N 500 W, PROVO, UT 846043305 (Tel: 8017633885)

📍

Updated Business Mailing Address October 22, 2007

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8013548225)

👤

Provider Name / Credentials Updated October 22, 2007

Recorded as PAUL RITCHIE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2007

Orthopaedic Surgery (License #5694941-1205 in UT)

🟢

Initial NPI Registration & Enumeration June 14, 2006

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: 1720021678

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: November 26, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Credentialing Department

Provo, UT 846043305

Phone: 8013548225

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.