Physician
Valley River Orthopedics and Sports Medicine
Valley River Orthopedics and Sports Medicine was paid $1.52M by Medicaid between Sep 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoVALLEY RIVER ORTHOPEDICS AND SPORTS MEDICINE
MERCED, CA 95340
MERCED, CA 95340
33aNPI1386136430assigned 06/05/2018
33bProvider typeSports Medicine (Orthopaedic Surgery) Physician
28Total paid$1.52M
24GClaims23,778
24DCodes billed8
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in California
Rank by total paid#1 of 33
Median peer was paid$22K
This provider vs. median68×
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 | 306 | $11K | |
| 2019 | 3,022 | $120K | |
| 2020 | 3,743 | $216K | |
| 2021 | 3,243 | $196K | |
| 2022 | 4,311 | $301K | |
| 2023 | 5,089 | $336K | |
| 2024incomplete | 4,064 | $341K |
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 | 48% | 10,867 | 9,887 | $730K |
| 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 | 17% | 1,588 | 1,587 | $254K |
| 20610 | 15% | 4,419 | 3,865 | $224K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.6% | 1,713 | 1,711 | $131K |
| 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 | 6.8% | 722 | 710 | $104K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2.9% | 4,004 | 3,857 | $43K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 1.6% | 319 | 311 | $25K |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | <1% | 146 | 77 | $9K |
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 officialBEAUCHMAN, NASEEM (MD/OWNER)