Palomar Orthopaedic Specialists, Apmc
Palomar Orthopaedic Specialists, Apmc was paid $1.25M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 46% of everything it billed.
33Billing provider infoPALOMAR ORTHOPAEDIC SPECIALISTS, APMC
ESCONDIDO, CA 92025
ESCONDIDO, CA 92025
33aNPI1063439875assigned 07/16/2006
33bProvider typeSpecialist
28Total paid$1.25M
24GClaims17,129
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#161 of 1,230
Median peer was paid$51K
This provider vs. median24×
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 | 2,948 | $278K | |
| 2019 | 2,134 | $180K | |
| 2020 | 2,195 | $145K | |
| 2021 | 2,624 | $187K | |
| 2022 | 3,029 | $191K | |
| 2023 | 3,251 | $207K | |
| 2024incomplete | 948 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 46% | 6,668 | 5,285 | $577K |
| 99245 | 14% | 1,108 | 1,107 | $170K | |
| 20610 | 13% | 2,531 | 2,306 | $168K | |
| 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 | 7.6% | 605 | 601 | $95K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 6.8% | 2,785 | 2,156 | $86K |
| 99205 | Prolong outpt/office vis | 5.5% | 331 | 331 | $69K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 3.1% | 411 | 283 | $39K |
| J3490 | Unclassified drugs | 1.7% | 1,623 | 1,257 | $22K |
| 76140 | 1.6% | 786 | 776 | $21K | |
| 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 | <1% | 57 | 56 | $5K |
| 73565 | <1% | 93 | 93 | $623.55 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 37 | 29 | $606.98 |
3 more codes
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 officialO'MEARA, PATRICK (PRESIDENT)