NP / PA
Pain Management Group LLC
Pain Management Group LLC was paid $2.65M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoPAIN MANAGEMENT GROUP LLC
FINDLAY, OH 45840
FINDLAY, OH 45840
33aNPI1063831303assigned 04/15/2014
33bProvider typeNurse Practitioner
28Total paid$2.65M
24GClaims523,380
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Ohio
Rank by total paid#6 of 168
Median peer was paid$9K
This provider vs. median300×
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 | 40,446 | $262K | |
| 2019 | 72,285 | $317K | |
| 2020 | 96,669 | $341K | |
| 2021 | 80,451 | $443K | |
| 2022 | 95,877 | $485K | |
| 2023 | 79,939 | $460K | |
| 2024incomplete | 57,713 | $340K |
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 | 46% | 49,374 | 43,443 | $1.22M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 41,655 | 36,190 | $707K |
| 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 | 9.5% | 5,907 | 5,267 | $252K |
| 64493 | 4.0% | 2,553 | 1,857 | $107K | |
| 64635 | 2.9% | 663 | 515 | $77K | |
| 64494 | 2.0% | 2,609 | 1,771 | $54K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 1,854 | 1,557 | $51K |
| 62323 | 1.5% | 665 | 617 | $39K | |
| 27096 | 1.2% | 475 | 405 | $32K | |
| 64636 | <1% | 603 | 457 | $26K | |
| 64483 | <1% | 246 | 229 | $19K | |
| 99442 | <1% | 892 | 749 | $17K |
59 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 801 | $12K |
| 64495 | <1% | 832 | $10K | |
| 99152 | <1% | 609 | $6K | |
| 99443 | <1% | 129 | $6K | |
| 20610 | <1% | 146 | $4K | |
| 64451 | <1% | 39 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 67 | $3K |
| 64633 | <1% | 17 | $2K | |
| 99441 | <1% | 206 | $2K | |
| 20553 | <1% | 84 | $1K | |
| 20611 | <1% | 26 | $908.52 | |
| 64634 | <1% | 16 | $705.74 | |
| 99205 | Prolong outpt/office vis | <1% | 17 | $541.55 |
| 77002 | <1% | 58 | $415.61 | |
| 64484 | <1% | 12 | $386.47 | |
| 99406 | <1% | 200 | $240.71 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 82,227 | $81.42 |
| 99484 | <1% | 19 | $58.69 | |
| G9577 | Patients prescribed opiates for longer than six weeks | <1% | 14,870 | $26.04 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 39,972 | $0.04 |
| G2197 | Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user | <1% | 33,110 | $0.04 |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | <1% | 8,287 | $0.02 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 14,471 | $0.02 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 27,909 | $0.02 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | <1% | 8,436 | $0.02 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 8,782 | $0.02 |
| 1036F | <1% | 14,963 | $0.02 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 34,346 | $0.00 |
| G9584 | Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy | 0% | 19,395 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 6,904 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 4,555 | $0.00 |
| 4004F | 0% | 273 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,484 | $0.00 |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 19,305 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 14,728 | $0.00 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | 0% | 10,669 | $0.00 |
| G9561 | Patients prescribed opiates for longer than six weeks | 0% | 10,166 | $0.00 |
| G9623 | Documentation of medical reason(s) for not screening for unhealthy alcohol use (e.g., limited life expectancy, other medical reasons) | 0% | 199 | $0.00 |
| 1100F | 0% | 91 | $0.00 | |
| 0518F | 0% | 91 | $0.00 | |
| G2198 | Documentation of medical reason(s) for not screening for unhealthy alcohol use using a systematic screening method (e.g., limited life expectancy, other medical reasons) | 0% | 181 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 13 | $0.00 |
| G9909 | Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason) | 0% | 21 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 9,508 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 3,488 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 5,001 | $0.00 |
| 1006F | 0% | 3,579 | $0.00 | |
| G9583 | Patients prescribed opiates for longer than six weeks | 0% | 14,735 | $0.00 |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 68 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 274 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 160 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 116 | $0.00 |
| G9579 | No documentation of signed an opioid treatment agreement at least once during opioid therapy | 0% | 42 | $0.00 |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 64 | $0.00 |
| G9585 | Patient not evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient not interviewed at least once during opioid therapy | 0% | 33 | $0.00 |
| G9720 | Hospice services for patient occurred any time during the measurement period | 0% | 40 | $0.00 |
| G9907 | Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason) | 0% | 21 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 14 | $0.00 |
| G2181 | Bmi not documented due to medical reason or patient refusal of height or weight measurement | 0% | 15 | $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 officialHECKER, BRADLEY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Pain Management Group PLLC | Findlay, OH | $1.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.