CENTER FOR PAIN MANAGEMENT PLLC

$103K

Total Medicaid Paid

15,889

Total Claims

13,762

Beneficiaries

28

Codes Billed

2018-01

First Month

2021-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		2,877	2,744	$31K
99152		2,255	1,850	$11K
64483		316	268	$9K
J1030	Injection, methylprednisolone acetate, 40 mg	2,130	1,772	$8K
93923		206	124	$6K
J2704	Injection, propofol, 10 mg	2,076	1,720	$6K
95923		120	119	$4K
72275		529	444	$4K
64493		58	48	$4K
76942		260	237	$3K
62323		49	49	$3K
64484		262	224	$3K
62370		123	122	$2K
64635		17	13	$2K
64494		58	48	$2K
64636		17	13	$2K
64495		55	46	$1K
99204		25	25	$952.53
95921		123	122	$443.45
96372		32	32	$189.81
J3010	Injection, fentanyl citrate, 0.1 mg	1,235	1,033	$167.65
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	424	424	$157.95
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	1,201	1,047	$150.78
93040		111	110	$86.58
J2250	Injection, midazolam hydrochloride, per 1 mg	1,225	1,026	$7.42
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	42	42	$0.00
J1885	Injection, ketorolac tromethamine, per 15 mg	32	32	$0.00
J7999	Compounded drug, not otherwise classified	31	28	$0.00

Medicaid Provider Spending