Ortho 1 Medical Group
Ortho 1 Medical Group was paid $51K by Medicaid between May 2022 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoORTHO 1 MEDICAL GROUP
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
33aNPI1609471929assigned 12/03/2020
33bProvider typeSpecialist
28Total paid$51K
24GClaims513
24DCodes billed6
24AFirst – last monthMay 2022 – Oct 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#617 of 1,230
Median peer was paid$51K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2022 | 33 | $5K | |
| 2023 | 71 | $7K | |
| 2024incomplete | 409 | $39K |
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 | 57% | 273 | 264 | $29K |
| 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 | 25% | 106 | 106 | $13K |
| 99205 | Prolong outpt/office vis | 6.4% | 19 | 19 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.0% | 14 | 14 | $2K |
| 95851 | 3.4% | 87 | 77 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 14 | 13 | $2K |
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 officialKANE, NORMAN (PRESIDENT)