Physician
Orthopaedic Specialty Institute Medical Group of Orange County
Orthopaedic Specialty Institute Medical Group of Orange County was paid $67K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 51% of everything it billed.
33Billing provider infoORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1336228832assigned 11/03/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$67K
24GClaims11,154
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#115 of 292
Median peer was paid$24K
This provider vs. median2.9×
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 | 1,499 | $9K | |
| 2019 | 829 | $7K | |
| 2020 | 1,574 | $11K | |
| 2021 | 2,656 | $13K | |
| 2022 | 2,855 | $16K | |
| 2023 | 1,513 | $10K | |
| 2024incomplete | 228 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 51% | 1,329 | 1,318 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 4,189 | 3,919 | $24K |
| 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 | 6.9% | 2,278 | 2,112 | $5K |
| 20611 | 3.1% | 523 | 457 | $2K | |
| 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 | 1.1% | 146 | 146 | $713.74 |
| 73564 | <1% | 390 | 265 | $458.95 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,146 | 318 | $360.35 |
| 73562 | <1% | 196 | 175 | $346.90 | |
| 73502 | <1% | 81 | 79 | $157.68 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 445 | 129 | $84.15 |
| 72110 | <1% | 125 | 125 | $46.53 | |
| 20610 | <1% | 30 | 25 | $40.84 |
5 more codes
| 73030 | <1% | 91 | $30.05 | |
| 73630 | <1% | 19 | $28.11 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 44 | $16.94 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 54 | $10.49 |
| G1007 | Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program | 0% | 68 | $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 officialDEXTER, MICHELLE (CONTRACTING LIAISON)