Physician
Central Coast Orthopedic Medical Group
Central Coast Orthopedic Medical Group was paid $2.20M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoCENTRAL COAST ORTHOPEDIC MEDICAL GROUP
SAN LUIS OBISPO, CA 93405
SAN LUIS OBISPO, CA 93405
33aNPI1871537779assigned 06/15/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$2.20M
24GClaims21,518
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#17 of 292
Median peer was paid$24K
This provider vs. median93×
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 | 3,130 | $185K | |
| 2019 | 2,959 | $237K | |
| 2020 | 2,288 | $210K | |
| 2021 | 2,727 | $314K | |
| 2022 | 3,713 | $513K | |
| 2023 | 4,290 | $467K | |
| 2024incomplete | 2,411 | $273K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 8,941 | 8,477 | $805K |
| 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 | 29% | 5,204 | 4,996 | $627K |
| 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% | 2,437 | 2,415 | $492K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 667 | 666 | $80K |
| 99243 | 3.4% | 501 | 500 | $74K | |
| 20610 | 1.7% | 1,061 | 947 | $38K | |
| 73564 | 1.2% | 686 | 598 | $26K | |
| 99223 | Prolong inpt eval add15 m | <1% | 77 | 77 | $11K |
| 73562 | <1% | 250 | 228 | $8K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 27 | 27 | $6K |
| 73610 | <1% | 137 | 132 | $6K | |
| 73502 | <1% | 163 | 159 | $5K |
9 more codes
| 73100 | <1% | 117 | $5K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 757 | $4K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 269 | $3K |
| 73070 | <1% | 73 | $3K | |
| 73140 | <1% | 46 | $2K | |
| 20550 | <1% | 32 | $2K | |
| 73110 | <1% | 27 | $1K | |
| 73030 | <1% | 31 | $690.81 | |
| 73130 | <1% | 15 | $595.20 |
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 officialBROCKETT, SHERI (PRACTICE MANAGER)