Stanislaus Orthopaedic and Sports Medicine Clinic
Stanislaus Orthopaedic and Sports Medicine Clinic was paid $6.83M by Medicaid between Jan 2018 and Oct 2024, across 65 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 30% of everything it billed.
33Billing provider infoSTANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1669505160assigned 03/13/2007
33bProvider typeSpecialist
28Total paid$6.83M
24GClaims178,181
24DCodes billed65
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#33 of 1,230
Median peer was paid$51K
This provider vs. median133×
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 | 22,627 | $919K | |
| 2019 | 23,762 | $907K | |
| 2020 | 22,560 | $846K | |
| 2021 | 24,120 | $953K | |
| 2022 | 32,120 | $1.23M | |
| 2023 | 29,914 | $1.12M | |
| 2024incomplete | 23,078 | $854K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 30% | 52,714 | 15,533 | $2.06M |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 18% | 38,873 | 12,152 | $1.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 17,611 | 17,176 | $730K |
| 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 | 7.9% | 5,417 | 5,393 | $542K |
| 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 | 6.2% | 7,725 | 7,592 | $425K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 4,128 | 4,110 | $363K |
| 97161 | 4.6% | 5,933 | 5,803 | $313K | |
| 99243 | 2.4% | 1,845 | 1,844 | $162K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.9% | 6,628 | 2,318 | $127K |
| 20610 | 1.8% | 2,446 | 2,051 | $123K | |
| 97018 | 1.7% | 10,313 | 2,967 | $115K | |
| 27447 | <1% | 41 | 40 | $63K |
53 more codes
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,814 | $59K |
| 97026 | <1% | 5,433 | $58K | |
| 97597 | <1% | 840 | $45K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,604 | $43K |
| 97014 | <1% | 3,041 | $38K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 612 | $29K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,351 | $23K |
| 73562 | <1% | 620 | $23K | |
| 73560 | <1% | 892 | $22K | |
| 76942 | <1% | 296 | $20K | |
| 20611 | <1% | 439 | $20K | |
| 95886 | <1% | 180 | $18K | |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | <1% | 51 | $17K |
| 73630 | <1% | 539 | $17K | |
| 97035 | <1% | 1,680 | $17K | |
| 97750 | <1% | 295 | $16K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 166 | $15K |
| 73110 | <1% | 456 | $13K | |
| 97016 | <1% | 905 | $13K | |
| 73130 | <1% | 358 | $10K | |
| 20526 | <1% | 143 | $10K | |
| 73620 | <1% | 289 | $7K | |
| 64718 | <1% | 12 | $6K | |
| 73600 | <1% | 225 | $5K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 42 | $5K |
| 73564 | <1% | 131 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 29 | $4K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 295 | $4K |
| 73030 | <1% | 109 | $4K | |
| 20550 | <1% | 84 | $4K | |
| 64493 | <1% | 21 | $3K | |
| 64721 | <1% | 24 | $3K | |
| 72114 | <1% | 42 | $3K | |
| 20985 | <1% | 19 | $3K | |
| 99242 | <1% | 37 | $2K | |
| 72082 | <1% | 25 | $2K | |
| 11750 | <1% | 16 | $2K | |
| 29260 | <1% | 49 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 55 | $1K |
| 29075 | <1% | 14 | $1K | |
| 72100 | <1% | 28 | $1K | |
| 64494 | <1% | 20 | $793.62 | |
| 73502 | <1% | 14 | $612.10 | |
| 99241 | <1% | 14 | $594.86 | |
| 73140 | <1% | 28 | $584.84 | |
| 99221 | <1% | 12 | $565.95 | |
| 95851 | <1% | 24 | $527.02 | |
| 76000 | <1% | 25 | $486.09 | |
| 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% | 56 | $442.35 |
| 73610 | <1% | 13 | $433.44 | |
| 99201 | <1% | 15 | $349.05 | |
| 73100 | <1% | 12 | $271.67 | |
| 11055 | <1% | 13 | $229.31 |
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 officialCASEY, JOHN (SENIOR PARTNER)