Orthopaedic Sports Specialists a Medical Corp

Orthopaedic Sports Specialists a Medical Corp was paid $641K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 62% of everything it billed.

33Billing provider infoORTHOPAEDIC SPORTS SPECIALISTS A MEDICAL CORP
FREMONT, CA 94538

33aNPI1447311253assigned 12/13/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$641K

24GClaims4,979

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in California

Rank by total paid#43 of 292

Median peer was paid$24K

This provider vs. median27×

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	819	$75K
2019	897	$75K
2020	383	$28K
2021	564	$81K
2022	841	$142K
2023	803	$125K
2024incomplete	672	$114K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	62%	2,413	2,137	$397K
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	14%	967	862	$92K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.0%	889	832	$58K
99205	Prolong outpt/office vis	6.7%	188	188	$43K
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	4.1%	198	196	$26K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	2.0%	130	124	$13K
20610		<1%	87	82	$5K
73564		<1%	75	61	$4K
J1110	Injection, dihydroergotamine mesylate, per 1 mg	<1%	20	15	$2K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	<1%	12	12	$2K

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 officialJAUREGUITO, JOHN (PRESIDENT PHYSICIAN)

Parent organizationORTHOPAEDIC SPORTS SPECIALISTS A MEDICAL CORP