SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE
NPI: 1669993218
· VICTORVILLE, CA 92395
· 207X00000X
$612K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
738 |
$55K |
| 2019 |
1,063 |
$75K |
| 2020 |
1,076 |
$80K |
| 2021 |
1,277 |
$91K |
| 2022 |
2,079 |
$22K |
| 2023 |
4,645 |
$115K |
| 2024 |
5,318 |
$174K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
8,622 |
8,213 |
$284K |
| 99203 |
|
3,354 |
3,341 |
$216K |
| 99214 |
|
1,070 |
1,056 |
$51K |
| 99204 |
|
494 |
494 |
$40K |
| 20610 |
|
260 |
220 |
$9K |
| 20611 |
|
219 |
208 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
67 |
67 |
$4K |
| S0020 |
Injection, bupivicaine hydro |
146 |
141 |
$1K |
| J1100 |
Dexamethasone sodium phos |
799 |
781 |
$471.90 |
| A4550 |
Surgical trays |
15 |
12 |
$400.00 |
| J2001 |
Lidocaine injection |
579 |
569 |
$60.13 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$45.29 |
| 99024 |
|
545 |
504 |
$0.00 |
| 1111F |
|
14 |
12 |
$0.00 |