Clinic
Pain Institute of Nashville, PLC
Pain Institute of Nashville, PLC was paid $55K by Medicaid between Nov 2018 and May 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoPAIN INSTITUTE OF NASHVILLE, PLC
CLARKSVILLE, TN 37043
CLARKSVILLE, TN 37043
33aNPI1073049102assigned 05/10/2017
33bProvider typePain Clinic/Center
28Total paid$55K
24GClaims61,566
24DCodes billed25
24AFirst – last monthNov 2018 – May 2024
Compared with peers
Next to other Pain Clinic/Center providers in Tennessee
Rank by total paid#6 of 10
Median peer was paid$55K
This provider vs. median1.0×
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 | 1,365 | $11.76 | |
| 2019 | 11,203 | $6K | |
| 2020 | 10,915 | $12K | |
| 2021 | 19,521 | $12K | |
| 2022 | 9,471 | $11K | |
| 2023 | 7,294 | $10K | |
| 2024incomplete | 1,797 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 15,825 | 9,611 | $31K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 12% | 7,510 | 4,533 | $7K |
| 96136 | 11% | 6,068 | 3,634 | $6K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.8% | 14,369 | 8,507 | $2K |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 3.8% | 9,875 | 5,891 | $2K |
| 96138 | 3.6% | 816 | 519 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 85 | 78 | $2K |
| 96132 | 2.5% | 273 | 177 | $1K | |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | 1.6% | 4,646 | 2,726 | $859.69 |
| 96127 | <1% | 669 | 430 | $324.73 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 27 | 18 | $213.98 |
| 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 | <1% | 141 | 63 | $148.34 |
13 more codes
| 96146 | <1% | 638 | $47.73 | |
| 93922 | <1% | 28 | $33.00 | |
| 95923 | <1% | 14 | $25.75 | |
| 87500 | <1% | 27 | $16.46 | |
| 87640 | <1% | 27 | $16.46 | |
| 87641 | <1% | 27 | $16.46 | |
| 96120 | <1% | 195 | $4.02 | |
| 96103 | <1% | 195 | $2.38 | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 0% | 18 | $0.00 |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 0% | 27 | $0.00 |
| 81002 | 0% | 21 | $0.00 | |
| 80305 | 0% | 31 | $0.00 | |
| 95921 | 0% | 14 | $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 officialWOOD, RON (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Beck, Griffith, Cirillo, and Patel, P.A. | Prince Frederick, MD | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.