Physician
Florida Spine & Pain Institute
Florida Spine & Pain Institute was paid $525K by Medicaid between Jun 2018 and Dec 2024, across 32 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 63% of everything it billed.
33Billing provider infoFLORIDA SPINE & PAIN INSTITUTE
CLERMONT, FL 34711
CLERMONT, FL 34711
33aNPI1053769661assigned 05/25/2016
33bProvider typeInterventional Pain Medicine Physician
28Total paid$525K
24GClaims259,263
24DCodes billed32
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Interventional Pain Medicine Physician providers in Florida
Rank by total paid#5 of 56
Median peer was paid$7K
This provider vs. median72×
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 | 1,078 | $92.84 | |
| 2019 | 12,154 | $43K | |
| 2020 | 27,116 | $90K | |
| 2021 | 31,782 | $113K | |
| 2022 | 26,107 | $55K | |
| 2023 | 47,594 | $133K | |
| 2024incomplete | 113,432 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 63% | 83,110 | 23,054 | $329K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 16% | 31,971 | 6,883 | $82K |
| 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 | 13% | 2,551 | 2,088 | $68K |
| 99306 | Prolong nursin fac eval 15m | 3.5% | 1,515 | 910 | $18K |
| 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 | 3.4% | 207 | 198 | $18K |
| 99307 | 1.3% | 4,007 | 1,417 | $7K | |
| 95912 | <1% | 126 | 68 | $578.78 | |
| 99305 | <1% | 264 | 192 | $569.33 | |
| 95886 | <1% | 131 | 72 | $360.35 | |
| 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% | 14 | 12 | $261.84 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 60,356 | 19,975 | $218.44 |
| 99310 | Prolong nursin fac eval 15m | <1% | 41 | 27 | $129.72 |
20 more codes
| 1126F | 0% | 7,844 | $0.00 | |
| 1170F | 0% | 5,487 | $0.00 | |
| 1123F | 0% | 2,461 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12,985 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 6,389 | $0.00 |
| 1036F | 0% | 446 | $0.00 | |
| 1125F | 0% | 3,872 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 50 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 42 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 13 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 2,555 | $0.00 |
| 1124F | 0% | 11,410 | $0.00 | |
| 1100F | 0% | 6,836 | $0.00 | |
| 3288F | 0% | 5,307 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 6,837 | $0.00 |
| 0518F | 0% | 1,816 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 176 | $0.00 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | 0% | 153 | $0.00 |
| 0521F | 0% | 147 | $0.00 | |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 144 | $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 officialSANCHEZ, DARA (MANAGER)