Physician
Santa Rosa Orthopaedic Medical Group, INC.
Santa Rosa Orthopaedic Medical Group, INC. was paid $569K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoSANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC.
SANTA ROSA, CA 95405
SANTA ROSA, CA 95405
33aNPI1518907336assigned 06/08/2006
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$569K
24GClaims16,983
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Hand Surgery Physician providers in California
Rank by total paid#9 of 30
Median peer was paid$173K
This provider vs. median3.3×
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 | 2,112 | $44K | |
| 2019 | 2,102 | $52K | |
| 2020 | 2,343 | $76K | |
| 2021 | 2,557 | $86K | |
| 2022 | 2,528 | $84K | |
| 2023 | 2,643 | $104K | |
| 2024incomplete | 2,698 | $123K |
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 | 45% | 6,654 | 6,208 | $256K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 1,288 | 1,219 | $68K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 1,716 | 1,559 | $42K |
| 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 | 7.4% | 437 | 434 | $42K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.7% | 429 | 422 | $33K |
| 73610 | 4.8% | 1,760 | 1,038 | $27K | |
| 73630 | 3.8% | 1,509 | 836 | $22K | |
| 99223 | Prolong inpt eval add15 m | 3.2% | 198 | 195 | $18K |
| 72110 | 2.2% | 472 | 385 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 347 | 326 | $9K |
| 73130 | 1.6% | 528 | 385 | $9K | |
| 99254 | 1.4% | 82 | 78 | $8K |
15 more codes
| 20610 | 1.2% | 201 | $7K | |
| 72100 | <1% | 174 | $3K | |
| 73502 | <1% | 100 | $3K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 567 | $3K |
| 99253 | <1% | 38 | $2K | |
| 73030 | <1% | 145 | $2K | |
| 73100 | <1% | 92 | $848.36 | |
| 73564 | <1% | 28 | $622.80 | |
| 72040 | <1% | 25 | $571.56 | |
| 72050 | <1% | 12 | $360.00 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 27 | $258.60 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 55 | $222.30 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 26 | $156.27 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 59 | $134.34 |
| 73140 | <1% | 14 | $114.53 |
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 officialBROPHY, ALICIA (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Norcal Skin Disease and Surgery INC | Santa Rosa, CA | $330K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.