Physician
Orthopaedic Medical Group of Riverside, INC.
Orthopaedic Medical Group of Riverside, INC. was paid $653K by Medicaid between Jan 2018 and Jan 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
33aNPI1144491895assigned 03/20/2008
33bProvider typeOrthopaedic Surgery Physician
28Total paid$653K
24GClaims7,949
24DCodes billed14
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#42 of 292
Median peer was paid$24K
This provider vs. median28×
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 | 2,398 | $179K | |
| 2019 | 2,238 | $193K | |
| 2020 | 1,496 | $127K | |
| 2021 | 1,219 | $99K | |
| 2022 | 585 | $54K | |
| 2023 | 13 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 2,615 | 2,413 | $185K |
| 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 | 28% | 1,908 | 1,769 | $182K |
| 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 | 27% | 1,208 | 1,182 | $177K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.9% | 649 | 644 | $65K |
| 73100 | 3.5% | 1,167 | 533 | $23K | |
| 29075 | 1.3% | 106 | 99 | $9K | |
| 95886 | <1% | 45 | 24 | $3K | |
| 95911 | <1% | 12 | 12 | $2K | |
| 73600 | <1% | 126 | 52 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $2K |
| 73140 | <1% | 51 | 24 | $1K | |
| 72100 | <1% | 20 | 12 | $602.78 |
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 officialGUAJARDO, JUAN (CEO)