Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PACIFIC ORTHOPAEDIC MEDICAL GROUP, INC.

NPI: 1194722801 · ALHAMBRA, CA 91801 · Orthopaedic Surgery Physician · NPI assigned 07/07/2005

$6.21M
Total Medicaid Paid
182,991
Total Claims
125,491
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDU, SARAH (ACCOUNTS RECEIVABLE MANAGER)
NPI Enumeration Date07/07/2005

Related Entities

Other providers sharing the same authorized official: DU, SARAH

ProviderCityStateTotal Paid
PACIFIC ORTHOPAEDIC MEDICAL GROUP, INC ARCADIA CA $68K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,171 $518K
2019 29,607 $968K
2020 18,382 $790K
2021 24,100 $1.05M
2022 27,801 $1.21M
2023 33,662 $1.20M
2024 26,268 $476K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39,446 37,539 $1.97M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,766 15,280 $1.23M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12,036 11,990 $920K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,245 5,241 $624K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 32,904 12,886 $293K
20610 8,978 5,751 $286K
97164 8,442 3,486 $221K
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose 1,658 870 $116K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 16,086 6,201 $112K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 12,979 4,744 $77K
73560 6,815 3,982 $66K
72100 3,402 3,362 $39K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 4,470 4,388 $32K
73110 1,450 1,218 $29K
73610 1,297 1,176 $28K
20550 947 736 $27K
97161 795 792 $25K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,437 1,264 $23K
73562 1,190 884 $21K
73630 826 724 $17K
97530 Therapeutic activities, direct patient contact, each 15 minutes 192 67 $8K
73130 372 295 $8K
97035 1,886 663 $5K
72170 553 541 $5K
73030 307 271 $5K
73140 186 153 $4K
97168 225 95 $4K
97163 124 123 $4K
72040 263 261 $4K
73501 107 107 $1K
29515 32 25 $961.74
29075 27 25 $669.02
A4590 Special casting material (e.g., fiberglass) 84 76 $500.04
97162 12 12 $393.35
73080 13 12 $320.46
97012 268 86 $253.01
Q4046 Cast supplies, short leg splint, adult (11 years +), fiberglass 18 13 $159.49
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 64 64 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 89 88 $0.00