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

Golden State Orthopedics & Spine

Golden State Orthopedics & Spine was paid $5.73M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 36% of everything it billed.

33Billing provider infoGOLDEN STATE ORTHOPEDICS & SPINE
WALNUT CREEK, CA 94598
33aNPI1972552990assigned 05/08/2006
28Total paid$5.73M
24GClaims72,603
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in California

Rank by total paid#7 of 292
Median peer was paid$24K
This provider vs. median242×

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$200K$400K2018201920202021202220232024
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
20183,054$312K
20193,453$342K
20202,979$276K
20214,917$533K
202215,734$959K
202319,624$1.52M
2024incomplete22,842$1.79M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 36% 21,649 9,008 $2.08M
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 19% 8,803 8,609 $1.10M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 7,539 7,302 $649K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8.2% 12,026 5,037 $469K
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 8.0% 2,605 2,598 $457K
64483 3.3% 1,989 1,369 $190K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2.6% 3,485 1,497 $149K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 1,148 1,145 $132K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2.2% 4,096 1,850 $127K
97016 1.0% 4,355 1,819 $58K
27447 <1% 43 43 $48K
95886 <1% 163 163 $37K
32 more codes
95911 <1% 150 $36K
L3960 Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment <1% 28 $29K
20610 <1% 505 $29K
73562 <1% 771 $26K
99243 <1% 270 $23K
64484 <1% 400 $18K
97014 <1% 921 $14K
73110 <1% 194 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 128 $6K
73610 <1% 208 $6K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf <1% 12 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 24 $4K
73564 <1% 125 $4K
77073 <1% 40 $2K
29075 <1% 17 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 244 $2K
97161 <1% 13 $2K
20611 <1% 12 $1K
73100 <1% 36 $1K
72170 <1% 27 $816.05
72100 <1% 24 $796.79
72110 <1% 14 $785.96
99152 <1% 50 $595.50
73501 <1% 24 $586.78
J1040 Injection, methylprednisolone acetate, 80 mg <1% 58 $569.50
73630 <1% 26 $511.22
73502 <1% 16 $442.76
J1030 Injection, methylprednisolone acetate, 40 mg <1% 81 $425.30
97116 <1% 17 $403.52
J1010 Injection, methylprednisolone acetate, 1 mg <1% 24 $185.13
99072 <1% 228 $100.00
A4590 Special casting material (e.g., fiberglass) 0% 15 $0.00

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 officialHAMMARSTROM, STEPHEN (CEO)
Parent organizationGOLDEN STATE ORTHOPEDICS & SPINE