Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Certified Spine and Pain Care LLC

Certified Spine and Pain Care LLC was paid $199K by Medicaid between Nov 2021 and Mar 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoCERTIFIED SPINE AND PAIN CARE LLC
WELLINGTON, FL 33414
33aNPI1124561733assigned 11/30/2016
28Total paid$199K
24GClaims8,208
24DCodes billed7
24AFirst – last monthNov 2021 – Mar 2023
Compared with peers

Next to other Interventional Pain Medicine Physician providers in Florida

Rank by total paid#13 of 56
Median peer was paid$7K
This provider vs. median27×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
202157$582.86
20226,930$152K
20231,221$46K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 66% 4,535 3,819 $131K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 24% 1,528 1,282 $47K
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 8.7% 315 272 $17K
62323 1.1% 13 13 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 184 183 $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 0% 1,609 1,341 $0.00
G0480 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; 1-7 drug class(es), including metabolite(s) if performed 0% 24 22 $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 officialGARCIA, JORGE (CREDENTIALING DIRECTOR)
Same official

Other billing entities under GARCIA, JORGE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.