Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Monterey Spine & Joint PC

Monterey Spine & Joint PC was paid $5.50M by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.

33Billing provider infoMONTEREY SPINE & JOINT PC
MONTEREY, CA 93940
33aNPI1881620599assigned 06/24/2006
28Total paid$5.50M
24GClaims111,936
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Neurological Surgery Physician providers in California

Rank by total paid#2 of 93
Median peer was paid$35K
This provider vs. median158×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20185,961$313K
20198,104$422K
202010,431$460K
202115,047$802K
202219,522$1.02M
202326,588$1.30M
2024incomplete26,283$1.18M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 20% 12,799 12,265 $1.09M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 19% 26,998 10,140 $1.06M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 17,424 16,561 $995K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 11% 16,631 6,628 $585K
97530 Therapeutic activities, direct patient contact, each 15 minutes 10.0% 14,718 5,862 $550K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.1% 2,929 2,925 $280K
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 4.5% 1,789 1,787 $250K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3.4% 5,688 2,502 $189K
99243 2.2% 1,397 1,389 $118K
97799 1.5% 2,348 540 $81K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1.4% 938 587 $77K
73562 1.4% 2,934 2,378 $74K
28 more codes
20610 <1% 1,028 $32K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 207 $24K
73630 <1% 590 $17K
73502 <1% 546 $15K
97535 Self-care/home management training, each 15 minutes <1% 461 $14K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,440 $10K
73610 <1% 180 $7K
99215 Doctor's office visit, returning patient (complex) <1% 29 $4K
73030 <1% 187 $4K
20611 <1% 78 $4K
73120 <1% 105 $3K
99223 Prolong inpt eval add15 m <1% 29 $3K
64483 <1% 41 $3K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf <1% 12 $2K
99244 Office or other outpatient consultation, moderate to high complexity <1% 14 $2K
99152 <1% 53 $2K
73130 <1% 51 $2K
97116 <1% 68 $2K
62323 <1% 12 $1K
72141 <1% 21 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 85 $1K
73140 <1% 25 $917.85
73564 <1% 17 $793.04
99222 Initial hospital care, per day, moderate complexity <1% 14 $640.59
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 12 $517.88
73110 <1% 14 $473.17
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 12 $49.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 12 $15.28

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 officialGOLLOGLY, SOHRAB (PRESIDENT)