Physician
Pyramid Pain and Rehab P.A.
Pyramid Pain and Rehab P.A. was paid $106K by Medicaid between Jan 2018 and Aug 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoPYRAMID PAIN AND REHAB P.A.
SHERMAN, TX 75090
SHERMAN, TX 75090
33aNPI1063655124assigned 04/19/2009
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$106K
24GClaims7,181
24DCodes billed17
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Texas
Rank by total paid#5 of 24
Median peer was paid$6K
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
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 | 1,639 | $6K | |
| 2019 | 1,354 | $4K | |
| 2020 | 1,560 | $19K | |
| 2021 | 1,452 | $31K | |
| 2022 | 886 | $35K | |
| 2023 | 204 | $7K | |
| 2024incomplete | 86 | $4K |
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 | 80% | 2,621 | 2,491 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 930 | 906 | $14K |
| 99484 | 6.5% | 1,838 | 1,799 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $373.82 |
| 99442 | <1% | 13 | 13 | $309.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 45 | 40 | $34.82 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 343 | 329 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 148 | 140 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 145 | 139 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 125 | 120 | $0.00 |
| 1036F | 0% | 75 | 74 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 75 | 73 | $0.00 |
5 more codes
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 363 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 15 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 382 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 32 | $0.00 |
| 4004F | 0% | 19 | $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 officialVATTAM, SREENADHA (MD)
| Provider | Location | Paid |
|---|---|---|
| Dallas Pain Institute | Rowlett, TX | $100K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.