Clinic
Norcal Skin Disease and Surgery INC
Norcal Skin Disease and Surgery INC was paid $330K by Medicaid between Jan 2018 and Aug 2023, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoNORCAL SKIN DISEASE AND SURGERY INC
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
33aNPI1881839520assigned 12/10/2008
33bProvider typeMedical Specialty Clinic/Center
28Total paid$330K
24GClaims6,210
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Medical Specialty Clinic/Center providers in California
Rank by total paid#37 of 164
Median peer was paid$37K
This provider vs. median9.0×
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 | 1,698 | $81K | |
| 2019 | 1,129 | $53K | |
| 2020 | 503 | $19K | |
| 2021 | 498 | $23K | |
| 2022 | 1,208 | $78K | |
| 2023 | 1,174 | $76K |
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 | 38% | 3,573 | 3,458 | $125K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 613 | 604 | $59K |
| 11102 | 17% | 543 | 448 | $58K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 15% | 806 | 799 | $49K |
| 11100 | 5.2% | 345 | 237 | $17K | |
| 17110 | 2.8% | 60 | 60 | $9K | |
| 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 | 1.3% | 79 | 79 | $4K |
| 17000 | 1.2% | 71 | 58 | $4K | |
| 11103 | <1% | 32 | 32 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 54 | 50 | $2K |
| 17003 | <1% | 18 | 18 | $275.49 | |
| 81025 | <1% | 16 | 14 | $86.22 |
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 officialBROPHY, ALICIA (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Santa Rosa Orthopaedic Medical Group, INC. | Santa Rosa, CA | $569K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.