Physician
Tri-City Orthopaedic Surgery Medical Group INC
Tri-City Orthopaedic Surgery Medical Group INC was paid $931K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 97139, — 32% of everything it billed.
33Billing provider infoTRI-CITY ORTHOPAEDIC SURGERY MEDICAL GROUP INC
OCEANSIDE, CA 92056
OCEANSIDE, CA 92056
33aNPI1861451445assigned 03/21/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$931K
24GClaims26,944
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#31 of 292
Median peer was paid$24K
This provider vs. median39×
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 | 1,276 | $50K | |
| 2019 | 2,552 | $97K | |
| 2020 | 2,397 | $70K | |
| 2021 | 3,599 | $125K | |
| 2022 | 4,097 | $150K | |
| 2023 | 6,633 | $211K | |
| 2024incomplete | 6,390 | $229K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97139 | 32% | 14,809 | 2,599 | $296K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 4,327 | 4,102 | $262K |
| 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 | 14% | 2,045 | 1,941 | $130K |
| 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 | 7.4% | 866 | 865 | $69K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 575 | 574 | $59K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.4% | 1,165 | 435 | $23K |
| 73630 | 2.4% | 1,059 | 797 | $22K | |
| 95913 | 2.0% | 102 | 101 | $19K | |
| 97750 | 1.6% | 641 | 446 | $15K | |
| 20610 | 1.2% | 195 | 188 | $11K | |
| 95886 | <1% | 90 | 89 | $8K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 562 | 193 | $5K |
16 more codes
| 73130 | <1% | 55 | $2K | |
| 73110 | <1% | 47 | $2K | |
| 97161 | <1% | 48 | $2K | |
| 97014 | <1% | 128 | $1K | |
| 73564 | <1% | 20 | $1K | |
| 73562 | <1% | 30 | $889.26 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 51 | $695.63 |
| 73030 | <1% | 12 | $563.21 | |
| 72100 | <1% | 13 | $451.30 | |
| 73610 | <1% | 14 | $446.52 | |
| 99152 | <1% | 14 | $427.23 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 24 | $366.10 |
| J3490 | Unclassified drugs | <1% | 12 | $107.39 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | $105.05 |
| 97162 | <1% | 12 | $96.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 16 | $3.59 |
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 officialHARTMAN, ANDREW (PRESIDENT)