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SAN BERNARDINO MEDICAL ORTHOPAEDIC GROUP, INC.

Orthopaedic Surgery·REDLANDS, CA·NPI: 1336187475Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$60.2M

$60,157,742

Total Claims

999K

Beneficiaries

712K

1.4 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$7.5M
+18%
2019
$8.8M
-10%
2020
$8.0M
+9%
2021
$8.7M
-2%
2022
$8.5M
+14%
2023
$9.8M
-9%
2024
$8.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 26% of total spending.

99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$15.7M

212K claims · 26.0%

Your Cost: $74.02/claim|Median: $37.81
2.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$10.3M

190K claims · 17.1%

Your Cost: $54.27/claim|Median: $24.49
2.2× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$6.6M

64K claims · 11.0%

Your Cost: $103.52/claim|Median: $53.41
1.9× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$6.5M

62K claims · 10.7%

Your Cost: $104.80/claim|Median: $57.85
1.8× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$4.5M

30K claims · 7.4%

Your Cost: $146.32/claim|Median: $84.03
1.7× median
97530Normal range

Therapeutic activities, each 15 min

$3.8M

81K claims · 6.3%

Your Cost: $47.17/claim|Median: $33.11
1.4× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1.9M

85K claims · 3.1%

Your Cost: $21.70/claim|Median: $16.79
1.3× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$1.8M

30K claims · 3.0%

Your Cost: $59.43/claim|Median: $29.03
2.0× median
97161Top 25%

Physical therapy evaluation, low complexity

$1.1M

13K claims · 1.8%

Your Cost: $85.02/claim|Median: $47.89
1.8× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$777K

27K claims · 1.3%

Your Cost: $28.29/claim|Median: $20.04
1.4× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$564K

15K claims · 0.9%

Your Cost: $38.71/claim|Median: $12.64
3.1× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$531K

15K claims · 0.9%

Your Cost: $35.29/claim|Median: $13.55
2.6× median
73562Top 25%

$497K

14K claims · 0.8%

Your Cost: $35.67/claim|Median: $12.28
2.9× median
J7323Top 25%

$467K

3,483 claims · 0.8%

Your Cost: $134.08/claim|Median: $101.00
1.3× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$450K

6,125 claims · 0.7%

Your Cost: $73.44/claim|Median: $22.44
3.3× median
73630Top 10%

X-ray, foot, complete, minimum 3 views

$449K

13K claims · 0.7%

Your Cost: $33.57/claim|Median: $12.06
2.8× median
27447Normal range

Total knee replacement surgery, both components

$405K

422 claims · 0.7%

Your Cost: $959.44/claim|Median: $1,115.75
0.9× median
73130Top 25%

$316K

8,804 claims · 0.5%

Your Cost: $35.90/claim|Median: $10.69
3.4× median
97113Normal range

$294K

4,947 claims · 0.5%

Your Cost: $59.48/claim|Median: $51.02
1.2× median
64483Top 25%

$277K

1,204 claims · 0.5%

Your Cost: $230.39/claim|Median: $124.24
1.9× median
72100Top 25%

$242K

6,473 claims · 0.4%

Your Cost: $37.33/claim|Median: $15.14
2.5× median
73564Top 25%

$236K

5,729 claims · 0.4%

Your Cost: $41.24/claim|Median: $15.00
2.7× median
G0283Top 25%

$229K

23K claims · 0.4%

Your Cost: $9.80/claim|Median: $3.52
2.8× median
73030Top 25%

$168K

5,205 claims · 0.3%

Your Cost: $32.20/claim|Median: $10.94
2.9× median
99451Top 25%

$167K

4,852 claims · 0.3%

Your Cost: $34.50/claim|Median: $20.05
1.7× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$165K

3,490 claims · 0.3%

Your Cost: $47.18/claim|Median: $13.30
3.5× median
97165Top 25%

OT evaluation, low complexity

$159K

1,760 claims · 0.3%

Your Cost: $90.25/claim|Median: $46.78
1.9× median
29075Normal range

$152K

1,875 claims · 0.3%

Your Cost: $80.87/claim|Median: $64.43
1.3× median
J7324Top 25%

$105K

841 claims · 0.2%

Your Cost: $124.31/claim|Median: $56.65
2.2× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$96K

1,092 claims · 0.2%

Your Cost: $88.01/claim|Median: $36.13
2.4× median
95886Normal range

$96K

1,012 claims · 0.2%

Your Cost: $94.58/claim|Median: $67.70
1.4× median
99284Normal range

Emergency dept visit, high complexity

$95K

1,110 claims · 0.2%

Your Cost: $85.48/claim|Median: $69.51
1.2× median
11721Top 10%

$79K

3,186 claims · 0.1%

Your Cost: $24.92/claim|Median: $8.56
2.9× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$78K

375 claims · 0.1%

Your Cost: $209.07/claim|Median: $111.02
1.9× median
J0702Normal range

$77K

7,337 claims · 0.1%

Your Cost: $10.54/claim|Median: $7.64
1.4× median
J1030Top 10%

Injection, methylprednisolone acetate, forty milligrams

$63K

5,795 claims · 0.1%

Your Cost: $10.81/claim|Median: $4.38
2.5× median
97162Top 25%

PT evaluation, moderate complexity

$62K

779 claims · 0.1%

Your Cost: $79.50/claim|Median: $46.10
1.7× median
L4387Top 5%

$60K

378 claims · 0.1%

Your Cost: $157.72/claim|Median: $96.24
1.6× median
J1040Top 25%

$52K

4,506 claims · 0.1%

Your Cost: $11.59/claim|Median: $6.87
1.7× median
95912Top 10%

$44K

174 claims · 0.1%

Your Cost: $250.79/claim|Median: $141.23
1.8× median
64721Normal range

$39K

101 claims · 0.1%

Your Cost: $387.11/claim|Median: $327.41
1.2× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$38K

376 claims · 0.1%

Your Cost: $99.85/claim|Median: $32.55
3.1× median
95885Normal range

$35K

563 claims · 0.1%

Your Cost: $61.73/claim|Median: $39.97
1.5× median
72040Top 25%

$35K

929 claims · 0.1%

Your Cost: $37.31/claim|Median: $16.49
2.3× median
73560Top 25%

$33K

1,025 claims · 0.1%

Your Cost: $32.43/claim|Median: $10.28
3.2× median
73502Top 10%

$28K

679 claims · 0.0%

Your Cost: $41.23/claim|Median: $10.79
3.8× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$27K

50 claims · 0.0%

Your Cost: $532.89/claim|Median: $470.36
1.1× median
L3908Top 5%

$26K

401 claims · 0.0%

Your Cost: $64.70/claim|Median: $35.79
1.8× median
20553Top 25%

$25K

518 claims · 0.0%

Your Cost: $48.69/claim|Median: $29.47
1.7× median
20550Top 25%

$24K

542 claims · 0.0%

Your Cost: $44.63/claim|Median: $29.96
1.5× median

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