Physician
Adult and Pediatric Orthopaedic Specialists a Medical Group INC
Adult and Pediatric Orthopaedic Specialists a Medical Group INC was paid $5.25M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoADULT AND PEDIATRIC ORTHOPAEDIC SPECIALISTS A MEDICAL GROUP INC
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1902831514assigned 07/11/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$5.25M
24GClaims91,273
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#9 of 292
Median peer was paid$24K
This provider vs. median222×
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 | 12,079 | $926K | |
| 2019 | 10,524 | $817K | |
| 2020 | 6,955 | $417K | |
| 2021 | 11,665 | $758K | |
| 2022 | 14,646 | $937K | |
| 2023 | 19,089 | $913K | |
| 2024incomplete | 16,315 | $487K |
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 | 29% | 30,125 | 28,640 | $1.53M |
| 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 | 15% | 10,221 | 10,167 | $798K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 20,311 | 19,404 | $685K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 11% | 5,689 | 5,680 | $582K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.2% | 5,847 | 5,835 | $379K |
| 99243 | 6.7% | 4,694 | 4,688 | $352K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.2% | 3,218 | 3,060 | $276K |
| 99205 | Prolong outpt/office vis | 4.2% | 1,785 | 1,782 | $222K |
| 29075 | 1.6% | 824 | 798 | $87K | |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 1.0% | 177 | 177 | $55K |
| 29065 | <1% | 441 | 421 | $50K | |
| 73100 | <1% | 2,036 | 1,842 | $42K |
26 more codes
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 739 | $38K |
| 73610 | <1% | 932 | $29K | |
| 72082 | <1% | 186 | $11K | |
| 73140 | <1% | 613 | $11K | |
| 99070 | <1% | 710 | $11K | |
| 73070 | <1% | 421 | $11K | |
| 24538 | <1% | 15 | $9K | |
| 73630 | <1% | 281 | $9K | |
| 73090 | <1% | 337 | $9K | |
| 73590 | <1% | 281 | $8K | |
| 73000 | <1% | 254 | $7K | |
| 99245 | <1% | 40 | $6K | |
| 73560 | <1% | 217 | $5K | |
| 73562 | <1% | 216 | $5K | |
| 73080 | <1% | 110 | $4K | |
| L1906 | Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf | <1% | 29 | $4K |
| 29085 | <1% | 30 | $3K | |
| 73564 | <1% | 104 | $3K | |
| 72081 | <1% | 70 | $3K | |
| 73130 | <1% | 72 | $3K | |
| 73110 | <1% | 69 | $2K | |
| 76000 | <1% | 111 | $2K | |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 13 | $2K |
| 29425 | <1% | 12 | $1K | |
| 73503 | <1% | 27 | $1K | |
| 99242 | <1% | 16 | $1K |
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 officialLALONDE, FRANCOIS (PRESIDENT)