Orthospine Advance Health, INC

Orthospine Advance Health, INC was paid $5.00M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is L0650, Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf — 26% of everything it billed.

Compared with peers

Next to other Orthopaedic Surgery Physician providers in California

Rank by total paid#10 of 292

Median peer was paid$24K

This provider vs. median212×

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	6,863	$604K
2019	8,641	$663K
2020	9,371	$701K
2021	9,109	$629K
2022	11,120	$794K
2023	11,677	$894K
2024incomplete	8,573	$714K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf	26%	1,552	1,552	$1.31M
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	18%	8,706	8,529	$878K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	13,304	12,829	$805K
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	8.6%	3,258	3,257	$429K
64635		7.4%	2,716	1,584	$370K
64483		5.2%	3,769	2,291	$260K
64493		3.6%	3,036	1,773	$182K
64636		2.1%	2,664	1,549	$106K
64494		2.0%	2,923	1,702	$99K
64484		1.8%	2,878	1,775	$90K
27096		1.8%	1,597	1,048	$90K
72110		1.7%	2,948	2,948	$85K

12 more codes

64495		1.6%	2,175	$82K
72170		1.0%	3,429	$51K
20610		<1%	888	$32K
99203	Doctor's office visit, new patient (routine)	<1%	364	$32K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	6,259	$31K
72050		<1%	1,114	$30K
72100		<1%	498	$12K
64490		<1%	159	$10K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	895	$8K
64491		<1%	155	$5K
64492		<1%	24	$1K
72070		<1%	43	$604.85

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 officialGARCIA-DIAZ, GABRIEL (OWNER)