Physician
Spine and Pain Institute at Midstate LLC
Spine and Pain Institute at Midstate LLC was paid $22K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoSPINE AND PAIN INSTITUTE AT MIDSTATE LLC
MERIDEN, CT 06451
MERIDEN, CT 06451
33aNPI1033488119assigned 12/20/2011
33bProvider typeInterventional Pain Medicine Physician
28Total paid$22K
24GClaims3,277
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Interventional Pain Medicine Physician providers in Connecticut
Rank by total paid#5 of 8
Median peer was paid$22K
This provider vs. median1.0×
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 | 580 | $2K | |
| 2019 | 685 | $2K | |
| 2020 | 295 | $2K | |
| 2021 | 327 | $4K | |
| 2022 | 343 | $3K | |
| 2023 | 562 | $4K | |
| 2024incomplete | 485 | $6K |
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 | 41% | 968 | 872 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 2,085 | 1,564 | $8K |
| 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 | 10.0% | 78 | 66 | $2K |
| 99454 | 6.2% | 79 | 66 | $1K | |
| 99205 | Prolong outpt/office vis | 5.3% | 28 | 27 | $1K |
| 62323 | 1.4% | 13 | 12 | $318.25 | |
| 20553 | <1% | 26 | 24 | $168.89 |
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 officialKOST, JONATHAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Jonathan a Kost, MD LLC | West Hartford, CT | $254K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.