Surgical Specialists a Medical Corporation

Surgical Specialists a Medical Corporation was paid $451K by Medicaid between Jan 2018 and Mar 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 35% of everything it billed.

33Billing provider infoSURGICAL SPECIALISTS A MEDICAL CORPORATION
SANTA MARIA, CA 93454

33aNPI1235168337assigned 07/01/2006

33bProvider typeSurgery Physician

28Total paid$451K

24GClaims3,023

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#54 of 437

Median peer was paid$23K

This provider vs. median20×

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	629	$60K
2019	487	$76K
2020	422	$55K
2021	506	$78K
2022	491	$97K
2023	359	$68K
2024incomplete	129	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	35%	792	790	$159K
99205	Prolong outpt/office vis	20%	331	331	$91K
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	16%	515	504	$73K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	617	587	$55K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.3%	278	272	$33K
99222	Initial hospital care, per day, moderate complexity	4.8%	201	201	$22K
99221		3.9%	239	235	$17K
99243		<1%	12	12	$1K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	38	37	$75.31

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 officialBOSSHARDT, THOMAS (PRESIDENT)