Physician
Carefirst Medical Associates and Pain Rehabilitation, PA
Carefirst Medical Associates and Pain Rehabilitation, PA was paid $39K by Medicaid between Jan 2018 and Jul 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoCAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA
TYLER, TX 75703
TYLER, TX 75703
33aNPI1114953767assigned 06/24/2006
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$39K
24GClaims5,447
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Texas
Rank by total paid#7 of 24
Median peer was paid$6K
This provider vs. median6.6×
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 | 1,615 | $11K | |
| 2019 | 1,036 | $9K | |
| 2020 | 782 | $6K | |
| 2021 | 657 | $5K | |
| 2022 | 475 | $5K | |
| 2023 | 819 | $2K | |
| 2024incomplete | 63 | $2K |
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 | 75% | 3,356 | 3,147 | $29K |
| 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 | 25% | 915 | 874 | $10K |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | 0% | 39 | 36 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 260 | 247 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 132 | 128 | $0.00 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 676 | 676 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 69 | 69 | $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 officialRODGERS, RANDALL (PHYSICIAN-PRESIDENT)