Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LA JOLLA › BONEBUILDERS MEDICAL CLINIC

BONEBUILDERS MEDICAL CLINIC

NPI: 1356401566 · LA JOLLA, CA 92037 · Orthopaedic Surgery Physician · NPI assigned 12/11/2006

$35K
Total Medicaid Paid
717
Total Claims
688
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialRUDOLPH, CHARLES (PRESIDENT)
NPI Enumeration Date12/11/2006

Related Entities

Other providers sharing the same authorized official: RUDOLPH, CHARLES

ProviderCityStateTotal Paid
DX MSO, PLLC CHATTANOOGA TN $13.38M
AFC URGENT CARE AND FAMILY CARE OF WNC, PLLC CHARLOTTE NC $9.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 251 $13K
2019 267 $12K
2020 140 $7K
2021 59 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 429 420 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 251 244 $9K
99244 Office or other outpatient consultation, moderate to high complexity 13 12 $1K
20610 24 12 $874.20