Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KEVIN J. PELTON MD, INC.

NPI: 1679771703 · LOS ANGELES, CA 90033 · Orthopaedic Hand Surgery Physician · NPI assigned 07/10/2007

$15.84M
Total Medicaid Paid
301,506
Total Claims
275,506
Beneficiaries
87
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPELTON, KEVIN (DIRECTOR)
NPI Enumeration Date07/10/2007

Related Entities

Other providers sharing the same authorized official: PELTON, KEVIN

ProviderCityStateTotal Paid
ADVANCED ORTHOPEDICS, A MEDICAL GROUP ENCINO CA $391.50

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,024 $150K
2019 19,096 $824K
2020 22,548 $1.10M
2021 39,351 $2.25M
2022 56,338 $3.31M
2023 76,820 $4.16M
2024 80,329 $4.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 57,675 54,574 $4.48M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 32,473 32,329 $3.41M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58,825 55,139 $3.02M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14,674 14,509 $996K
20610 21,036 15,736 $738K
99244 Office or other outpatient consultation, moderate to high complexity 2,592 2,571 $307K
99215 Prolong outpt/office vis 2,603 2,569 $281K
99205 Prolong outpt/office vis 1,921 1,892 $275K
29085 3,573 3,240 $197K
73130 9,572 8,083 $194K
73630 10,311 8,331 $179K
73610 9,184 8,308 $167K
73110 7,424 6,474 $150K
29705 4,136 3,759 $146K
27447 125 123 $117K
73560 6,454 5,592 $98K
73030 5,028 4,536 $88K
73562 4,311 3,733 $85K
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass 1,214 1,102 $82K
20550 2,385 1,764 $74K
29405 1,371 1,189 $69K
72100 3,111 3,103 $61K
73564 1,942 1,647 $49K
99358 Prolong nursin fac eval 15m 793 779 $40K
72081 1,659 1,624 $35K
73565 2,116 2,106 $33K
95913 154 152 $30K
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 962 903 $29K
A4590 Special casting material (e.g., fiberglass) 2,918 2,638 $28K
73070 1,848 1,598 $27K
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose 300 216 $27K
29581 641 461 $22K
73502 830 804 $20K
64483 101 99 $20K
73140 1,058 993 $18K
95886 211 209 $18K
64721 41 41 $17K
72170 882 879 $13K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 467 299 $13K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,626 898 $13K
20526 283 240 $13K
72040 593 591 $12K
11721 473 466 $12K
73100 826 721 $12K
62323 70 70 $12K
20600 412 338 $12K
76881 429 334 $10K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 4,476 4,402 $9K
29065 112 107 $8K
97012 1,530 841 $8K
29125 275 253 $7K
11750 52 47 $5K
97014 1,161 668 $5K
73000 265 247 $5K
99223 Prolong inpt eval add15 m 39 38 $4K
11730 106 98 $4K
64493 19 15 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 36 25 $3K
77002 85 82 $2K
73090 180 150 $2K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 110 108 $2K
20605 64 63 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,911 3,868 $2K
Q4040 Cast supplies, short leg cast, pediatric (0-10 years), fiberglass 29 24 $2K
64494 19 15 $2K
11000 57 39 $2K
29130 59 58 $1K
Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass 27 25 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 4,696 4,615 $1K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,136 606 $1K
Q4012 Cast supplies, short arm cast, pediatric (0-10 years), fiberglass 44 40 $926.39
Q4018 Cast supplies, long arm splint, adult (11 years +), fiberglass 70 67 $870.38
11056 13 13 $869.17
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 91 57 $679.99
73590 56 50 $601.64
99442 30 21 $406.76
72110 13 13 $401.75
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 178 177 $399.93
73650 25 25 $362.78
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 458 456 $152.65
11720 16 14 $105.64
J1010 Injection, methylprednisolone acetate, 1 mg 27 27 $82.09
29280 12 12 $77.45
J1030 Injection, methylprednisolone acetate, 40 mg 13 13 $63.09
J1885 Injection, ketorolac tromethamine, per 15 mg 92 92 $40.30
J7638 Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram 265 257 $12.78
98940 26 16 $0.00