Bay Area Spine Care

Bay Area Spine Care was paid $128K by Medicaid between Dec 2020 and Jun 2023, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoBAY AREA SPINE CARE
MERCED, CA 95348

33aNPI1720403413assigned 03/04/2014

33bProvider typeOrthopaedic Surgery of the Spine Physician

28Total paid$128K

24GClaims1,222

24DCodes billed4

24AFirst – last monthDec 2020 – Jun 2023

Compared with peers

Next to other Orthopaedic Surgery of the Spine Physician providers in California

Rank by total paid#5 of 35

Median peer was paid$24K

This provider vs. median5.3×

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
2020	14	$482.30
2021	496	$43K
2022	551	$67K
2023	161	$18K

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	54%	786	725	$69K
99205	Prolong outpt/office vis	34%	251	251	$43K
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	12%	171	171	$15K
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%	14	14	$602.85

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 officialCLUCK, MICHAEL (OWNER)