Orthopedic Institute of the Bay Area

Orthopedic Institute of the Bay Area was paid $259K by Medicaid between Jan 2018 and Apr 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoORTHOPEDIC INSTITUTE OF THE BAY AREA
SAN MATEO, CA 94401

33aNPI1477785665assigned 08/20/2009

33bProvider typeOrthopaedic Surgery Physician

28Total paid$259K

24GClaims5,755

24DCodes billed11

24AFirst – last monthJan 2018 – Apr 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in California

Rank by total paid#72 of 292

Median peer was paid$24K

This provider vs. median11×

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	1,248	$91K
2019	1,339	$56K
2020	928	$32K
2021	1,057	$35K
2022	655	$23K
2023	408	$15K
2024incomplete	120	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	43%	2,877	2,635	$111K
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	32%	1,055	1,055	$84K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	7.3%	28	26	$19K
20610		6.5%	440	418	$17K
J1030	Injection, methylprednisolone acetate, 40 mg	3.8%	500	476	$10K
76140		3.3%	584	575	$9K
76881		2.8%	71	62	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.3%	158	153	$3K
20611		<1%	17	14	$345.12
73562		<1%	13	13	$75.31
73564		<1%	12	12	$49.70

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 officialBOLANOS, ALBERTO (PRESIDENT)