Girard Orthopaedic Surgeons Medical Group,. INC
Girard Orthopaedic Surgeons Medical Group,. INC was paid $6.27M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoGIRARD ORTHOPAEDIC SURGEONS MEDICAL GROUP,. INC
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
33aNPI1962438564assigned 06/24/2006
33bProvider typeSpecialist
28Total paid$6.27M
24GClaims85,623
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#36 of 1,230
Median peer was paid$51K
This provider vs. median122×
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 | 13,931 | $1.04M | |
| 2019 | 13,383 | $949K | |
| 2020 | 11,384 | $808K | |
| 2021 | 11,699 | $868K | |
| 2022 | 10,741 | $750K | |
| 2023 | 13,573 | $980K | |
| 2024incomplete | 10,912 | $871K |
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 | 26% | 20,147 | 19,436 | $1.65M |
| 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 | 17% | 6,141 | 6,119 | $1.09M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 6,163 | 6,125 | $714K |
| 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 | 9.6% | 4,942 | 4,842 | $600K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 4.7% | 1,081 | 1,055 | $297K |
| 20610 | 3.7% | 5,055 | 3,125 | $233K | |
| 20611 | 3.7% | 3,200 | 1,617 | $232K | |
| 73630 | 2.4% | 4,089 | 3,568 | $153K | |
| 73130 | 1.9% | 3,031 | 2,576 | $119K | |
| 73565 | 1.8% | 3,409 | 3,378 | $113K | |
| J7328 | Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg | 1.8% | 506 | 179 | $111K |
| 73560 | 1.8% | 4,018 | 3,076 | $111K |
35 more codes
| 73610 | 1.6% | 2,486 | $101K | |
| 73100 | 1.5% | 2,551 | $95K | |
| 72110 | 1.3% | 1,586 | $83K | |
| 72100 | 1.3% | 1,987 | $80K | |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 1.2% | 269 | $76K |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | <1% | 883 | $51K |
| 97139 | <1% | 2,164 | $44K | |
| 73140 | <1% | 914 | $38K | |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | <1% | 161 | $34K |
| 99205 | Prolong outpt/office vis | <1% | 134 | $29K |
| 72040 | <1% | 641 | $26K | |
| 73110 | <1% | 564 | $23K | |
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | <1% | 70 | $21K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 3,486 | $19K |
| 73562 | <1% | 483 | $19K | |
| 20550 | <1% | 269 | $16K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 85 | $15K |
| 72050 | <1% | 267 | $15K | |
| 64721 | <1% | 27 | $12K | |
| 73502 | <1% | 223 | $9K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 157 | $9K |
| L1904 | Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated | <1% | 12 | $6K |
| 97116 | <1% | 198 | $3K | |
| 26055 | <1% | 12 | $3K | |
| 73080 | <1% | 82 | $3K | |
| 72170 | <1% | 65 | $2K | |
| 64450 | <1% | 65 | $2K | |
| 20553 | <1% | 27 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 232 | $2K |
| 73120 | <1% | 34 | $1K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 111 | $1K |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 227 | $726.51 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 3,277 | $159.95 |
| J0670 | Injection, mepivacaine hydrochloride, per 10 ml | <1% | 25 | $82.98 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 67 | $46.18 |
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 officialKIMBALL, MICHAEL (PRESIDENT)