South Bay Foot & Ankle Specialists, INC.
South Bay Foot & Ankle Specialists, INC. was paid $6.59M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoSOUTH BAY FOOT & ANKLE SPECIALISTS, INC.
CHULA VISTA, CA 91910
CHULA VISTA, CA 91910
33aNPI1689041055assigned 09/01/2015
33bProvider typePodiatrist
28Total paid$6.59M
24GClaims112,767
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Podiatrist providers in California
Rank by total paid#3 of 330
Median peer was paid$11K
This provider vs. median576×
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 | 18,291 | $2.20M | |
| 2019 | 28,014 | $1.40M | |
| 2020 | 23,833 | $1.08M | |
| 2021 | 24,019 | $1.21M | |
| 2022 | 12,160 | $476K | |
| 2023 | 5,298 | $204K | |
| 2024incomplete | 1,152 | $15K |
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 | 30% | 38,017 | 32,427 | $1.99M |
| Q4131 | Epifix or epicord, per square centimeter | 27% | 1,081 | 414 | $1.76M |
| 11721 | 11% | 27,584 | 27,131 | $742K | |
| 11056 | 9.2% | 19,576 | 19,006 | $606K | |
| 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 | 5.8% | 4,939 | 4,914 | $384K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 4.2% | 1,265 | 1,099 | $275K |
| 11043 | 3.4% | 1,805 | 877 | $221K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 3.0% | 2,728 | 1,514 | $199K |
| 15275 | 1.6% | 1,420 | 561 | $107K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 5,091 | 4,581 | $87K |
| 29540 | <1% | 4,235 | 3,127 | $49K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 571 | 565 | $27K |
18 more codes
| 20550 | <1% | 652 | $24K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 278 | $22K |
| 11755 | <1% | 424 | $21K | |
| 11750 | <1% | 277 | $20K | |
| L4397 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf | <1% | 101 | $11K |
| 11730 | <1% | 299 | $9K | |
| L1940 | Ankle foot orthosis, plastic or other material, custom fabricated | <1% | 24 | $8K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,075 | $5K |
| L2330 | Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only | <1% | 24 | $5K |
| L2280 | Addition to lower extremity, molded inner boot | <1% | 19 | $5K |
| 20600 | <1% | 147 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 890 | $3K |
| 20605 | <1% | 73 | $2K | |
| 11057 | <1% | 59 | $2K | |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | <1% | 24 | $2K |
| 11102 | <1% | 15 | $1K | |
| 11055 | <1% | 58 | $1K | |
| 73630 | <1% | 16 | $386.32 |
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 officialCHISHOLM, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| City of Concord | Concord, NH | $1.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.