Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VALLEY MEDICAL MANAGEMENT OF PAIN INC

NPI: 1144566167 · SAINT CLAIRSVILLE, OH 43950 · Specialist · NPI assigned 12/19/2012

$566K
Total Medicaid Paid
96,564
Total Claims
55,929
Beneficiaries
34
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialBALGO, TROY (OWNER, DOCTOR)
NPI Enumeration Date12/19/2012

Related Entities

Other providers sharing the same authorized official: BALGO, TROY

ProviderCityStateTotal Paid
BELMONT MEDICAL CARE SAINT CLAIRSVILLE OH $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 62,216 $397K
2019 34,348 $170K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,865 2,642 $182K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,976 2,302 $55K
80346 3,987 2,266 $27K
80361 3,991 2,272 $22K
80362 2,962 1,780 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 583 521 $13K
80324 3,972 2,263 $13K
80358 3,979 2,270 $13K
83992 2,991 1,794 $13K
80353 3,993 2,272 $13K
80348 4,023 2,284 $12K
80349 4,023 2,286 $12K
80354 4,013 2,284 $12K
80365 4,003 2,277 $12K
80356 4,012 2,284 $12K
80372 3,996 2,272 $12K
80359 4,009 2,278 $12K
80373 3,965 2,254 $12K
80369 3,998 2,276 $12K
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 107 79 $10K
80332 3,064 1,849 $10K
80342 3,062 1,847 $10K
80323 3,063 1,847 $9K
80360 3,427 1,850 $9K
80355 3,075 1,846 $9K
80335 4,427 2,328 $9K
80366 2,984 1,789 $9K
80320 864 439 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 41 41 $4K
80339 883 441 $3K
80345 885 441 $3K
80305 277 213 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16 15 $218.05
81025 48 27 $175.50