Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Encinitas › NPI 1356433965

San Dieguito Orthopedic Medical Center P C

San Dieguito Orthopedic Medical Center P C was paid $36K by Medicaid between Feb 2021 and Nov 2024, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 36% of everything it billed.

33Billing provider infoSAN DIEGUITO ORTHOPEDIC MEDICAL CENTER P C
ENCINITAS, CA 92024
33aNPI1356433965assigned 09/29/2006
28Total paid$36K
24GClaims1,063
24DCodes billed4
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers

Next to other Foot & Ankle Surgery Podiatrist providers in California

Rank by total paid#162 of 384
Median peer was paid$24K
This provider vs. median1.5×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2021208$4K
202226$933.29
2023402$13K
2024incomplete427$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 36% 149 149 $13K
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 36% 338 319 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 408 391 $10K
99072 <1% 168 114 $6.00

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 officialGELB, ROBERT (BOARD MEMBER)