Arthritis and Orthopedic Medical Clinic

Arthritis and Orthopedic Medical Clinic was paid $39K by Medicaid between Jun 2018 and Aug 2021, across 9 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 43% of everything it billed.

33Billing provider infoARTHRITIS AND ORTHOPEDIC MEDICAL CLINIC
LOS GATOS, CA 95032

33aNPI1235176025assigned 06/01/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$39K

24GClaims1,380

24DCodes billed9

24AFirst – last monthJun 2018 – Aug 2021

Compared with peers

Next to other Orthopaedic Surgery Physician providers in California

Rank by total paid#129 of 292

Median peer was paid$24K

This provider vs. median1.6×

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	92	$3K
2019	456	$16K
2020	443	$12K
2021	389	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	43%	411	305	$17K
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	24%	510	473	$9K
99354		14%	121	93	$5K
76000		9.7%	191	168	$4K
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	4.4%	64	64	$2K
99205	Prolong outpt/office vis	2.4%	14	14	$915.37
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	25	25	$474.02
95851		<1%	28	25	$189.22
20611		<1%	16	12	$45.21

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 officialAPTEKAR, ROBERT (GENERAL PARTNER)