Physician
LA Jolla Spine Institute Medical Group, INC.
LA Jolla Spine Institute Medical Group, INC. was paid $440K by Medicaid between Oct 2018 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoLA JOLLA SPINE INSTITUTE MEDICAL GROUP, INC.
SAN DIEGO, CA 92120
SAN DIEGO, CA 92120
33aNPI1073677811assigned 12/19/2006
33bProvider typeOrthopaedic Surgery of the Spine Physician
28Total paid$440K
24GClaims3,706
24DCodes billed5
24AFirst – last monthOct 2018 – Oct 2024
Compared with peers
Next to other Orthopaedic Surgery of the Spine Physician providers in California
Rank by total paid#3 of 35
Median peer was paid$24K
This provider vs. median18×
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 | $1K | |
| 2019 | 25 | $3K | |
| 2020 | 53 | $5K | |
| 2021 | 306 | $39K | |
| 2022 | 744 | $90K | |
| 2023 | 1,433 | $164K | |
| 2024incomplete | 1,133 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 2,354 | 2,308 | $234K |
| 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 | 38% | 1,067 | 1,063 | $168K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 164 | 162 | $22K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 95 | 94 | $11K |
| 99205 | Prolong outpt/office vis | 1.1% | 26 | 26 | $5K |
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 officialRAISZADEH, RAMIN (PRESIDENT)