Physician
Novaspine Pain Institute, PLC
Novaspine Pain Institute, PLC was paid $541K by Medicaid between Oct 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoNOVASPINE PAIN INSTITUTE, PLC
SUN CITY WEST, AZ 85375
SUN CITY WEST, AZ 85375
33aNPI1154745263assigned 02/10/2014
33bProvider typeAnesthesiology Physician
28Total paid$541K
24GClaims12,897
24DCodes billed17
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Arizona
Rank by total paid#20 of 153
Median peer was paid$17K
This provider vs. median32×
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 | 58 | $2K | |
| 2019 | 441 | $16K | |
| 2020 | 1,543 | $45K | |
| 2021 | 3,423 | $110K | |
| 2022 | 3,462 | $166K | |
| 2023 | 2,668 | $137K | |
| 2024incomplete | 1,302 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 75% | 7,586 | 7,068 | $404K |
| 99443 | 10% | 881 | 851 | $55K | |
| 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 | 7.8% | 530 | 513 | $42K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.7% | 343 | 108 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 233 | 214 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 294 | 270 | $7K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 169 | 52 | $4K |
| 97032 | <1% | 300 | 95 | $3K | |
| 99442 | <1% | 53 | 53 | $3K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 352 | 321 | $246.75 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 32 | 31 | $220.63 |
| 1123F | 0% | 207 | 164 | $0.00 |
5 more codes
| 1036F | 0% | 1,295 | $0.00 | |
| G9367 | At least two orders for high-risk medications from the same drug class | 0% | 158 | $0.00 |
| G9366 | One high-risk medication not ordered | 0% | 32 | $0.00 |
| G9365 | One high-risk medication ordered | 0% | 188 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 244 | $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 officialBAKER, CLIFFORD (OWNER)