Physician
Espiritus Spine & Pain Rehab PA
Espiritus Spine & Pain Rehab PA was paid $27K by Medicaid between Jan 2018 and Sep 2021, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoESPIRITUS SPINE & PAIN REHAB PA
WALLER, TX 77484
WALLER, TX 77484
33aNPI1053581686assigned 03/11/2008
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$27K
24GClaims16,246
24DCodes billed20
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Texas
Rank by total paid#8 of 24
Median peer was paid$6K
This provider vs. median4.6×
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 | 6,339 | $8K | |
| 2019 | 4,665 | $8K | |
| 2020 | 3,528 | $5K | |
| 2021 | 1,714 | $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 | 57% | 2,045 | 1,699 | $16K |
| 76881 | 26% | 513 | 449 | $7K | |
| 20550 | 9.1% | 562 | 423 | $2K | |
| 20611 | 6.3% | 629 | 575 | $2K | |
| 64493 | 1.1% | 41 | 40 | $292.96 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 13 | $94.83 |
| 20606 | <1% | 13 | 12 | $91.30 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 830 | 659 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 2,005 | 1,607 | $0.00 |
| 99080 | 0% | 1,877 | 1,235 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 422 | 318 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,431 | 1,953 | $0.00 |
8 more codes
| G8482 | Influenza immunization administered or previously received | 0% | 14 | $0.00 |
| 1036F | 0% | 1,784 | $0.00 | |
| 64494 | 0% | 41 | $0.00 | |
| 1101F | 0% | 153 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 901 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 865 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 1,094 | $0.00 |
| 20610 | 0% | 13 | $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 officialPHAM, ANTHONY (PRESIDENT/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Anthony T. Pham, O.D., P.C. | Tinker Afb, OK | $9K |
| Max Dental Care PA | Fort Worth, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.