Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Arthritis and Rheumatism Center INC., a Medical Corporation

Arthritis and Rheumatism Center INC., a Medical Corporation was paid $26.71M by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is J0717, Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) — 61% of everything it billed.

33Billing provider infoARTHRITIS AND RHEUMATISM CENTER INC., A MEDICAL CORPORATION
MANTECA, CA 95337
33aNPI1477914232assigned 03/08/2016
33bProvider typeRheumatology Physician
28Total paid$26.71M
24GClaims28,851
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Rheumatology Physician providers in California

Rank by total paid#3 of 147
Median peer was paid$43K
This provider vs. median616×

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$200K$400K$600K2018201920202021202220232024
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
2018742$411K
20193,639$3.64M
20204,250$4.49M
20214,769$5.20M
20225,387$4.96M
20235,670$4.79M
2024incomplete4,394$3.21M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 61% 4,356 3,642 $16.19M
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 34% 2,818 2,496 $9.03M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 2.3% 204 189 $601K
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 <1% 5,939 5,808 $204K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,824 3,465 $200K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,138 3,457 $137K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg <1% 50 49 $112K
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 <1% 1,623 1,619 $105K
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% 3,560 3,523 $79K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,062 968 $20K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 470 429 $9K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 118 118 $6K
3 more codes
96401 <1% 418 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 226 $4K
20610 <1% 45 $1K

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 officialCHAHAL, ANUPAM (AUTHORIZED OFFICIAL)