Physician
Pacific Orthopaedic Medical Group, INC.
Pacific Orthopaedic Medical Group, INC. was paid $6.21M by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoPACIFIC ORTHOPAEDIC MEDICAL GROUP, INC.
ALHAMBRA, CA 91801
ALHAMBRA, CA 91801
33aNPI1194722801assigned 07/07/2005
33bProvider typeOrthopaedic Surgery Physician
28Total paid$6.21M
24GClaims182,991
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#6 of 292
Median peer was paid$24K
This provider vs. median263×
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 | 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 | |
| 2024incomplete | 26,268 | $476K |
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 | 32% | 39,446 | 37,539 | $1.97M |
| 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 | 20% | 15,766 | 15,280 | $1.23M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 12,036 | 11,990 | $920K |
| 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 | 10% | 5,245 | 5,241 | $624K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 4.7% | 32,904 | 12,886 | $293K |
| 20610 | 4.6% | 8,978 | 5,751 | $286K | |
| 97164 | 3.6% | 8,442 | 3,486 | $221K | |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 1.9% | 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 | 1.8% | 16,086 | 6,201 | $112K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.2% | 12,979 | 4,744 | $77K |
| 73560 | 1.1% | 6,815 | 3,982 | $66K | |
| 72100 | <1% | 3,402 | 3,362 | $39K |
27 more codes
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 4,470 | $32K |
| 73110 | <1% | 1,450 | $29K | |
| 73610 | <1% | 1,297 | $28K | |
| 20550 | <1% | 947 | $27K | |
| 97161 | <1% | 795 | $25K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 3,437 | $23K |
| 73562 | <1% | 1,190 | $21K | |
| 73630 | <1% | 826 | $17K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 192 | $8K |
| 73130 | <1% | 372 | $8K | |
| 97035 | <1% | 1,886 | $5K | |
| 72170 | <1% | 553 | $5K | |
| 73030 | <1% | 307 | $5K | |
| 73140 | <1% | 186 | $4K | |
| 97168 | <1% | 225 | $4K | |
| 97163 | <1% | 124 | $4K | |
| 72040 | <1% | 263 | $4K | |
| 73501 | <1% | 107 | $1K | |
| 29515 | <1% | 32 | $961.74 | |
| 29075 | <1% | 27 | $669.02 | |
| A4590 | Special casting material (e.g., fiberglass) | <1% | 84 | $500.04 |
| 97162 | <1% | 12 | $393.35 | |
| 73080 | <1% | 13 | $320.46 | |
| 97012 | <1% | 268 | $253.01 | |
| Q4046 | Cast supplies, short leg splint, adult (11 years +), fiberglass | <1% | 18 | $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 | 0% | 64 | $0.00 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 89 | $0.00 |
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 officialDU, SARAH (ACCOUNTS RECEIVABLE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pacific Orthopaedic Medical Group, INC | Arcadia, CA | $68K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.