Spine and Sports Injury Center, LLC
Spine and Sports Injury Center, LLC was paid $235K by Medicaid between Feb 2021 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoSPINE AND SPORTS INJURY CENTER, LLC
WASILLA, AK 99654
WASILLA, AK 99654
33aNPI1053690677assigned 08/12/2011
33bProvider typeSports Physician Chiropractor
28Total paid$235K
24GClaims2,340
24DCodes billed6
24AFirst – last monthFeb 2021 – Dec 2024
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 | |
|---|---|---|---|
| 2021 | 330 | $41K | |
| 2022 | 845 | $93K | |
| 2023 | 642 | $65K | |
| 2024incomplete | 523 | $36K |
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 | 73% | 1,465 | 1,193 | $172K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 676 | 458 | $54K |
| 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 | 3.0% | 42 | 39 | $7K |
| 99442 | <1% | 52 | 25 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $841.65 |
| 36415 | Collection of venous blood by venipuncture | 0% | 93 | 76 | $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 officialLARSON, KRISTOFER (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Back in Action Physical Therapy, LLC | Wasilla, AK | $260K |
| Larson Chiropractic, LLC | Wasilla, AK | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.