Physician
San Bernardino Medical Orthopaedic Group, INC.
San Bernardino Medical Orthopaedic Group, INC. was paid $60.16M by Medicaid between Jan 2018 and Nov 2024, across 112 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoSAN BERNARDINO MEDICAL ORTHOPAEDIC GROUP, INC.
REDLANDS, CA 92374
REDLANDS, CA 92374
33aNPI1336187475assigned 06/02/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$60.16M
24GClaims998,826
24DCodes billed112
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#1 of 292
Median peer was paid$24K
This provider vs. median2,545×
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 | 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 | |
| 2024incomplete | 145,676 | $8.86M |
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 | 26% | 211,521 | 203,611 | $15.66M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 17% | 190,039 | 69,401 | $10.31M |
| 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 | 11% | 63,785 | 61,986 | $6.60M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 61,691 | 61,241 | $6.47M |
| 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 | 7.4% | 30,427 | 30,121 | $4.45M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 6.3% | 80,554 | 31,685 | $3.80M |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 3.1% | 85,253 | 34,893 | $1.85M |
| 20610 | 3.0% | 30,253 | 25,284 | $1.80M | |
| 97161 | 1.8% | 12,730 | 12,618 | $1.08M | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.3% | 27,474 | 13,810 | $777K |
| 73110 | <1% | 14,578 | 12,285 | $564K | |
| 73610 | <1% | 15,052 | 11,798 | $531K |
100 more codes
| 73562 | <1% | 13,933 | $497K | |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | <1% | 3,483 | $467K |
| 99442 | <1% | 6,125 | $450K | |
| 73630 | <1% | 13,383 | $449K | |
| 27447 | <1% | 422 | $405K | |
| 73130 | <1% | 8,804 | $316K | |
| 97113 | <1% | 4,947 | $294K | |
| 64483 | <1% | 1,204 | $277K | |
| 72100 | <1% | 6,473 | $242K | |
| 73564 | <1% | 5,729 | $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 | <1% | 23,399 | $229K |
| 73030 | <1% | 5,205 | $168K | |
| 99451 | <1% | 4,852 | $167K | |
| 99441 | <1% | 3,490 | $165K | |
| 97165 | <1% | 1,760 | $159K | |
| 29075 | <1% | 1,875 | $152K | |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | <1% | 841 | $105K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,092 | $96K |
| 95886 | <1% | 1,012 | $96K | |
| 99284 | Emergency room visit (serious) | <1% | 1,110 | $95K |
| 11721 | <1% | 3,186 | $79K | |
| 62323 | <1% | 375 | $78K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 7,337 | $77K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 5,795 | $63K |
| 97162 | <1% | 779 | $62K | |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 378 | $60K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 4,506 | $52K |
| 95912 | <1% | 174 | $44K | |
| 64721 | <1% | 101 | $39K | |
| 99443 | <1% | 376 | $38K | |
| 95885 | <1% | 563 | $35K | |
| 72040 | <1% | 929 | $35K | |
| 73560 | <1% | 1,025 | $33K | |
| 73502 | <1% | 679 | $28K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 50 | $27K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 401 | $26K |
| 20553 | <1% | 518 | $25K | |
| 20550 | <1% | 542 | $24K | |
| 73140 | <1% | 674 | $24K | |
| 99223 | Prolong inpt eval add15 m | <1% | 178 | $22K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 251 | $22K |
| 99283 | Emergency room visit (moderate) | <1% | 366 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 514 | $21K |
| 73080 | <1% | 612 | $21K | |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 1,799 | $16K |
| 95909 | <1% | 115 | $16K | |
| 64493 | <1% | 89 | $14K | |
| 73590 | <1% | 393 | $13K | |
| 11750 | <1% | 178 | $13K | |
| 97163 | <1% | 148 | $12K | |
| 29881 | <1% | 26 | $11K | |
| 29888 | <1% | 67 | $11K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 1,288 | $10K |
| 11056 | <1% | 415 | $9K | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 437 | $9K |
| 73020 | <1% | 379 | $8K | |
| 97018 | <1% | 1,835 | $8K | |
| 11720 | <1% | 486 | $8K | |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | <1% | 913 | $8K |
| 11055 | <1% | 430 | $7K | |
| 64494 | <1% | 62 | $5K | |
| 64635 | <1% | 16 | $4K | |
| 29405 | <1% | 61 | $4K | |
| 73501 | <1% | 152 | $4K | |
| 73600 | <1% | 116 | $4K | |
| 62321 | <1% | 19 | $4K | |
| 95913 | <1% | 13 | $3K | |
| 72081 | <1% | 74 | $3K | |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | <1% | 2,763 | $3K |
| 73551 | <1% | 90 | $3K | |
| 73552 | <1% | 77 | $3K | |
| J3490 | Unclassified drugs | <1% | 2,082 | $3K |
| 64636 | <1% | 16 | $2K | |
| 73100 | <1% | 69 | $2K | |
| L1906 | Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf | <1% | 12 | $2K |
| 64484 | <1% | 17 | $2K | |
| 29125 | <1% | 26 | $2K | |
| 73000 | <1% | 53 | $2K | |
| 29515 | <1% | 29 | $2K | |
| 72110 | <1% | 38 | $2K | |
| 97035 | <1% | 146 | $2K | |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | <1% | 42 | $2K |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 7,376 | $1K |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 291 | $1K |
| 73090 | <1% | 31 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,889 | $1K |
| 20611 | <1% | 17 | $1K | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 10,940 | $819.41 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 26 | $806.91 |
| 73565 | <1% | 13 | $517.12 | |
| 73120 | <1% | 13 | $436.92 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 71 | $425.49 |
| 72070 | <1% | 12 | $405.70 | |
| 72170 | <1% | 15 | $388.19 | |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 96 | $299.87 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 70 | $244.55 |
| A6448 | Light compression bandage, elastic, knitted/woven, width less than three inches, per yard | <1% | 73 | $192.14 |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | <1% | 15 | $144.08 |
| 36415 | Collection of venous blood by venipuncture | <1% | 40 | $84.45 |
| 99024 | 0% | 62 | $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 officialPIRONTI, JOHN (CEO)