HAVEN SPINE & PAIN CENTER PLLC
NPI: 1053901314
· GRAND RAPIDS, MI 49525
· Pain Medicine (Anesthesiology) Physician
· NPI assigned 01/21/2021
Provider Details
| Authorized Official | DILLON, JACK (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 01/21/2021 |
Related Entities
Other providers sharing the same authorized official: DILLON, JACK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
246 |
$17K |
| 2024 |
881 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
356 |
349 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
343 |
335 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
151 |
$14K |
| 27096 |
|
44 |
39 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
218 |
208 |
$181.22 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
13 |
$28.32 |