Physician
Kevin J. Pelton MD, INC.
Kevin J. Pelton MD, INC. was paid $15.84M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoKEVIN J. PELTON MD, INC.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
33aNPI1679771703assigned 07/10/2007
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$15.84M
24GClaims301,506
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Hand Surgery Physician providers in California
Rank by total paid#1 of 30
Median peer was paid$173K
This provider vs. median92×
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 | 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 | |
| 2024incomplete | 80,329 | $4.04M |
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 | 28% | 57,675 | 54,574 | $4.48M |
| 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 | 22% | 32,473 | 32,329 | $3.41M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 58,825 | 55,139 | $3.02M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.3% | 14,674 | 14,509 | $996K |
| 20610 | 4.7% | 21,036 | 15,736 | $738K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.9% | 2,592 | 2,571 | $307K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 2,603 | 2,569 | $281K |
| 99205 | Prolong outpt/office vis | 1.7% | 1,921 | 1,892 | $275K |
| 29085 | 1.2% | 3,573 | 3,240 | $197K | |
| 73130 | 1.2% | 9,572 | 8,083 | $194K | |
| 73630 | 1.1% | 10,311 | 8,331 | $179K | |
| 73610 | 1.1% | 9,184 | 8,308 | $167K |
75 more codes
| 73110 | <1% | 7,424 | $150K | |
| 29705 | <1% | 4,136 | $146K | |
| 27447 | <1% | 125 | $117K | |
| 73560 | <1% | 6,454 | $98K | |
| 73030 | <1% | 5,028 | $88K | |
| 73562 | <1% | 4,311 | $85K | |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | <1% | 1,214 | $82K |
| 20550 | <1% | 2,385 | $74K | |
| 29405 | <1% | 1,371 | $69K | |
| 72100 | <1% | 3,111 | $61K | |
| 73564 | <1% | 1,942 | $49K | |
| 99358 | Prolong nursin fac eval 15m | <1% | 793 | $40K |
| 72081 | <1% | 1,659 | $35K | |
| 73565 | <1% | 2,116 | $33K | |
| 95913 | <1% | 154 | $30K | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 962 | $29K |
| A4590 | Special casting material (e.g., fiberglass) | <1% | 2,918 | $28K |
| 73070 | <1% | 1,848 | $27K | |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | <1% | 300 | $27K |
| 29581 | <1% | 641 | $22K | |
| 73502 | <1% | 830 | $20K | |
| 64483 | <1% | 101 | $20K | |
| 73140 | <1% | 1,058 | $18K | |
| 95886 | <1% | 211 | $18K | |
| 64721 | <1% | 41 | $17K | |
| 72170 | <1% | 882 | $13K | |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | <1% | 467 | $13K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,626 | $13K |
| 20526 | <1% | 283 | $13K | |
| 72040 | <1% | 593 | $12K | |
| 11721 | <1% | 473 | $12K | |
| 73100 | <1% | 826 | $12K | |
| 62323 | <1% | 70 | $12K | |
| 20600 | <1% | 412 | $12K | |
| 76881 | <1% | 429 | $10K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 4,476 | $9K |
| 29065 | <1% | 112 | $8K | |
| 97012 | <1% | 1,530 | $8K | |
| 29125 | <1% | 275 | $7K | |
| 11750 | <1% | 52 | $5K | |
| 97014 | <1% | 1,161 | $5K | |
| 73000 | <1% | 265 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 39 | $4K |
| 11730 | <1% | 106 | $4K | |
| 64493 | <1% | 19 | $3K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 36 | $3K |
| 77002 | <1% | 85 | $2K | |
| 73090 | <1% | 180 | $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) | <1% | 110 | $2K |
| 20605 | <1% | 64 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,911 | $2K |
| Q4040 | Cast supplies, short leg cast, pediatric (0-10 years), fiberglass | <1% | 29 | $2K |
| 64494 | <1% | 19 | $2K | |
| 11000 | <1% | 57 | $2K | |
| 29130 | <1% | 59 | $1K | |
| Q4008 | Cast supplies, long arm cast, pediatric (0-10 years), fiberglass | <1% | 27 | $1K |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 4,696 | $1K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,136 | $1K |
| Q4012 | Cast supplies, short arm cast, pediatric (0-10 years), fiberglass | <1% | 44 | $926.39 |
| Q4018 | Cast supplies, long arm splint, adult (11 years +), fiberglass | <1% | 70 | $870.38 |
| 11056 | <1% | 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 | <1% | 91 | $679.99 |
| 73590 | <1% | 56 | $601.64 | |
| 99442 | <1% | 30 | $406.76 | |
| 72110 | <1% | 13 | $401.75 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 178 | $399.93 |
| 73650 | <1% | 25 | $362.78 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 458 | $152.65 |
| 11720 | <1% | 16 | $105.64 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 27 | $82.09 |
| 29280 | <1% | 12 | $77.45 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 13 | $63.09 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 92 | $40.30 |
| J7638 | Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | <1% | 265 | $12.78 |
| 98940 | 0% | 26 | $0.00 |
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 officialPELTON, KEVIN (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Advanced Orthopedics, a Medical Group | Encino, CA | $391.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.