Physician
Salem Pain and Spine Specialists PC
Salem Pain and Spine Specialists PC was paid $1.02M by Medicaid between Jan 2018 and Feb 2020, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoSALEM PAIN AND SPINE SPECIALISTS PC
SALEM, OR 97302
SALEM, OR 97302
33aNPI1124316567assigned 07/19/2011
33bProvider typeNeuromusculoskeletal Medicine & OMM Physician
28Total paid$1.02M
24GClaims2,556
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Neuromusculoskeletal Medicine & OMM Physician providers in Oregon
Rank by total paid#1 of 7
Median peer was paid$46K
This provider vs. median22×
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 | $495K | |
| 2019 | 1,147 | $525K | |
| 2020 | 44 | $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 | 78% | 1,534 | 1,493 | $798K |
| 99152 | 9.4% | 278 | 255 | $96K | |
| 99205 | Prolong outpt/office vis | 7.8% | 289 | 287 | $80K |
| 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 | 2.9% | 76 | 71 | $30K |
| 64483 | 1.4% | 29 | 29 | $14K | |
| 64493 | <1% | 14 | 12 | $2K | |
| 96103 | <1% | 176 | 175 | $9.25 | |
| 96127 | <1% | 146 | 145 | $2.93 | |
| 64494 | 0% | 14 | 12 | $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 officialMONREAL, CARLOS (BUSINESS MANAGER)