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.
MANTECA, CA 95337
Next to other Rheumatology Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 742 | $411K | |
| 2019 | 3,639 | $3.64M | |
| 2020 | 4,250 | $4.49M | |
| 2021 | 4,769 | $5.20M | |
| 2022 | 5,387 | $4.96M | |
| 2023 | 5,670 | $4.79M | |
| 2024incomplete | 4,394 | $3.21M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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
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.