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

Midwest Pain Clinic PC

Midwest Pain Clinic PC was paid $2.40M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoMIDWEST PAIN CLINIC PC
OMAHA, NE 68114
33aNPI1043482094assigned 03/31/2008
28Total paid$2.40M
24GClaims79,260
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Nebraska

Rank by total paid#1 of 10
Median peer was paid$133K
This provider vs. median18×

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$20K$40K$60K2018201920202021202220232024
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
201813,333$402K
201913,913$399K
202012,765$369K
202116,391$480K
20229,099$318K
20236,282$208K
2024incomplete7,477$224K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 48% 30,946 27,841 $1.15M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 27,766 24,706 $689K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 7.9% 3,459 3,214 $191K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 6.0% 1,431 1,378 $145K
80305 3.4% 11,053 10,182 $81K
27096 <1% 132 124 $18K
99152 <1% 1,220 977 $15K
64635 <1% 123 107 $14K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 191 188 $14K
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 <1% 192 177 $13K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 351 345 $13K
64493 <1% 232 197 $11K
16 more codes
99422 <1% 416 $11K
64636 <1% 140 $8K
01936 <1% 100 $7K
62323 <1% 100 $6K
64494 <1% 202 $6K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed <1% 187 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 173 $3K
99406 <1% 392 $2K
64495 <1% 83 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 275 $1K
99203 Doctor's office visit, new patient (routine) <1% 17 $951.16
J1040 Injection, methylprednisolone acetate, 80 mg <1% 16 $55.06
J1030 Injection, methylprednisolone acetate, 40 mg <1% 17 $39.54
J3010 Injection, fentanyl citrate, 0.1 mg <1% 16 $13.78
J2704 Injection, propofol, 10 mg <1% 15 $1.42
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 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 officialMAHONEY, MAUREEN (CREDENTIALING SPECIALIST)