Physician
Orthonorcal, INC.
Orthonorcal, INC. was paid $853K by Medicaid between Jan 2018 and Dec 2021, across 17 billing codes. Its largest line is 97140, Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) — 22% of everything it billed.
33Billing provider infoORTHONORCAL, INC.
LOS GATOS, CA 95032
LOS GATOS, CA 95032
33aNPI1124398235assigned 01/05/2012
33bProvider typeOrthopaedic Surgery Physician
28Total paid$853K
24GClaims25,389
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#35 of 292
Median peer was paid$24K
This provider vs. median36×
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 | 824 | $51K | |
| 2019 | 1,472 | $86K | |
| 2020 | 8,935 | $277K | |
| 2021 | 14,158 | $439K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 22% | 5,101 | 1,969 | $191K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 20% | 5,377 | 2,060 | $172K |
| 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 | 11% | 1,282 | 1,226 | $90K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 994 | 994 | $90K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,690 | 1,619 | $90K |
| 97014 | 7.6% | 4,517 | 1,763 | $65K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 5.7% | 1,663 | 830 | $49K |
| 97016 | 5.2% | 3,141 | 1,232 | $45K | |
| 99243 | 3.2% | 330 | 326 | $27K | |
| 97535 | Self-care/home management training, each 15 minutes | 1.9% | 591 | 410 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 301 | 293 | $11K |
| 73610 | <1% | 179 | 126 | $3K |
5 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 officialCOHEN, NATHANIEL (PHYSICIANS -PRESIDENT)