Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC

NPI: 1013056969 · SARTELL, MN 56377 · Physical Therapy Clinic/Center · NPI assigned 02/06/2007

$354K
Total Medicaid Paid
18,490
Total Claims
11,077
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKOWALKOWSKI, STACY (ADMINISTRATOR)
NPI Enumeration Date02/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,347 $16K
2019 1,809 $60K
2020 2,648 $49K
2021 1,207 $39K
2022 3,010 $48K
2023 4,269 $88K
2024 2,200 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,844 1,602 $129K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,651 1,299 $90K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 913 833 $44K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 514 431 $20K
99152 572 443 $16K
98927 466 437 $15K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 578 187 $12K
77002 108 101 $7K
90832 Psychotherapy, 30 minutes with patient 126 110 $6K
99153 Mod sedat endo service >5yrs 382 302 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,061 857 $2K
A4550 Surgical trays 1,647 1,158 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 15 14 $1K
A4305 Disposable drug delivery system, flow rate of 50 ml or greater per hour 375 281 $1K
20610 14 12 $666.60
97032 41 30 $640.80
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 912 713 $397.77
J2250 Injection, midazolam hydrochloride, per 1 mg 556 434 $366.96
80305 28 28 $272.74
A4300 Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access 346 255 $240.01
99407 13 12 $183.95
82570 346 304 $90.36
A4615 Cannula, nasal 334 244 $66.32
A4616 Tubing (oxygen), per foot 626 275 $41.51
94761 312 234 $30.02
A4248 Chlorhexidine containing antiseptic, 1 ml 44 39 $10.25
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 373 240 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 234 152 $0.00
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 33 24 $0.00