Medicaid Provider Spending

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

SAN BERNARDINO MEDICAL ORTHOPAEDIC GROUP, INC.

NPI: 1336187475 · REDLANDS, CA 92374 · Orthopaedic Surgery Physician · NPI assigned 06/02/2006

$60.16M
Total Medicaid Paid
998,826
Total Claims
711,896
Beneficiaries
112
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPIRONTI, JOHN (CEO)
NPI Enumeration Date06/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111,452 $7.50M
2019 141,416 $8.84M
2020 133,702 $7.96M
2021 146,633 $8.70M
2022 144,628 $8.54M
2023 175,319 $9.76M
2024 145,676 $8.86M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 211,521 203,611 $15.66M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 190,039 69,401 $10.31M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 63,785 61,986 $6.60M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 61,691 61,241 $6.47M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30,427 30,121 $4.45M
97530 Therapeutic activities, direct patient contact, each 15 minutes 80,554 31,685 $3.80M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 85,253 34,893 $1.85M
20610 30,253 25,284 $1.80M
97161 12,730 12,618 $1.08M
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 27,474 13,810 $777K
73110 14,578 12,285 $564K
73610 15,052 11,798 $531K
73562 13,933 11,237 $497K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 3,483 1,882 $467K
99442 6,125 5,993 $450K
73630 13,383 10,175 $449K
27447 422 401 $405K
73130 8,804 7,433 $316K
97113 4,947 1,875 $294K
64483 1,204 1,156 $277K
72100 6,473 6,399 $242K
73564 5,729 4,657 $236K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 23,399 11,637 $229K
73030 5,205 4,629 $168K
99451 4,852 4,805 $167K
99441 3,490 3,419 $165K
97165 1,760 1,750 $159K
29075 1,875 1,701 $152K
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose 841 495 $105K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,092 847 $96K
95886 1,012 670 $96K
99284 Emergency department visit for the evaluation and management, high severity 1,110 1,106 $95K
11721 3,186 3,176 $79K
62323 375 365 $78K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 7,337 7,034 $77K
J1030 Injection, methylprednisolone acetate, 40 mg 5,795 5,458 $63K
97162 779 764 $62K
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf 378 375 $60K
J1040 Injection, methylprednisolone acetate, 80 mg 4,506 4,282 $52K
95912 174 173 $44K
64721 101 100 $39K
99443 376 373 $38K
95885 563 368 $35K
72040 929 917 $35K
73560 1,025 896 $33K
73502 679 623 $28K
J0585 Injection, onabotulinumtoxina, 1 unit 50 28 $27K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 401 384 $26K
20553 518 513 $25K
20550 542 439 $24K
73140 674 596 $24K
99223 Prolong inpt eval add15 m 178 176 $22K
99222 Initial hospital care, per day, moderate complexity 251 249 $22K
99283 Emergency department visit for the evaluation and management, moderate severity 366 361 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 514 491 $21K
73080 612 493 $21K
97150 Therapeutic procedure(s), group (2 or more individuals) 1,799 761 $16K
95909 115 115 $16K
64493 89 79 $14K
73590 393 357 $13K
11750 178 127 $13K
97163 148 147 $12K
29881 26 25 $11K
29888 67 66 $11K
J1010 Injection, methylprednisolone acetate, 1 mg 1,288 1,271 $10K
11056 415 410 $9K
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 437 393 $9K
73020 379 336 $8K
97018 1,835 989 $8K
11720 486 483 $8K
A4556 Electrodes, (e.g., apnea monitor), per pair 913 898 $8K
11055 430 424 $7K
64494 62 54 $5K
64635 16 12 $4K
29405 61 57 $4K
73501 152 138 $4K
73600 116 112 $4K
62321 19 15 $4K
95913 13 13 $3K
72081 74 74 $3K
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 2,763 2,511 $3K
73551 90 82 $3K
73552 77 70 $3K
J3490 Unclassified drugs 2,082 1,892 $3K
64636 16 12 $2K
73100 69 63 $2K
L1906 Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf 12 12 $2K
64484 17 16 $2K
29125 26 26 $2K
73000 53 49 $2K
29515 29 27 $2K
72110 38 38 $2K
97035 146 94 $2K
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass 42 38 $2K
J2795 Injection, ropivacaine hydrochloride, 1 mg 7,376 7,120 $1K
J1020 Injection, methylprednisolone acetate, 20 mg 291 272 $1K
73090 31 27 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,889 1,789 $1K
20611 17 12 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 10,940 10,269 $819.41
71046 Radiologic examination, chest; 2 views 26 26 $806.91
73565 13 13 $517.12
73120 13 12 $436.92
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 71 71 $425.49
72070 12 12 $405.70
72170 15 15 $388.19
S0020 Injection, bupivicaine hydrochloride, 30 ml 96 88 $299.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 70 70 $244.55
A6448 Light compression bandage, elastic, knitted/woven, width less than three inches, per yard 73 69 $192.14
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 15 14 $144.08
36415 Collection of venous blood by venipuncture 40 40 $84.45
99024 62 57 $0.00