California Orthopedics & Spine INC
California Orthopedics & Spine INC was paid $42K by Medicaid between Jan 2018 and Jun 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoCALIFORNIA ORTHOPEDICS & SPINE INC
LARKSPUR, CA 94939
LARKSPUR, CA 94939
33aNPI1497701767assigned 05/26/2006
33bProvider typeSpecialist
28Total paid$42K
24GClaims2,013
24DCodes billed11
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Specialist providers in California
Rank by total paid#644 of 1,230
Median peer was paid$51K
This provider vs. median0.8×
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 | 188 | $1K | |
| 2019 | 370 | $889.10 | |
| 2020 | 245 | $6K | |
| 2021 | 597 | $14K | |
| 2022 | 464 | $14K | |
| 2023 | 149 | $5K |
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 | 42% | 671 | 626 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 905 | 856 | $15K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 14% | 55 | 55 | $6K |
| 72141 | 3.1% | 14 | 13 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 37 | 37 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 32 | 30 | $873.12 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 89 | 87 | $243.01 |
| 73030 | <1% | 13 | 12 | $131.92 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 13 | 12 | $19.58 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 154 | 64 | $18.08 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 30 | 12 | $0.00 |
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 officialBYERS, ROBERT (BOARD MEMBER)
Parent organizationCALIFORNIA ORTHOPEDICS & SPINE INC