Birnbaum, Peter

Birnbaum, Peter was paid $357K by Medicaid between May 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoBIRNBAUM, PETER
ANAHEIM, CA 92801

33aNPI1538267042assigned 09/20/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$357K

24GClaims11,073

24DCodes billed16

24AFirst – last monthMay 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in California

Rank by total paid#60 of 292

Median peer was paid$24K

This provider vs. median15×

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	212	$7K
2019	623	$5K
2020	389	$6K
2021	1,854	$61K
2022	4,590	$85K
2023	2,094	$90K
2024incomplete	1,311	$105K

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	48%	2,984	2,830	$170K
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	40%	1,380	1,362	$143K
76000		9.6%	1,465	1,182	$34K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	186	182	$3K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	170	165	$2K
A4550	Surgical trays	<1%	194	167	$1K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	13	13	$991.62
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	1,500	343	$943.73
20610		<1%	13	12	$752.92
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	42	41	$473.04
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	1,412	326	$332.44
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%	576	141	$215.48

4 more codes

97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	1,071	$138.43
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	39	$23.97
J0670	Injection, mepivacaine hydrochloride, per 10 ml	<1%	13	$11.07
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	15	$0.30

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.