Behavioral
Pain and Spine Specialists of Maryland, LLC
Pain and Spine Specialists of Maryland, LLC was paid $5.92M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
MOUNT AIRY, MD 21771
MOUNT AIRY, MD 21771
33aNPI1174884258assigned 06/05/2012
33bProvider typeAddiction (Substance Use Disorder) Psychologist
28Total paid$5.92M
24GClaims178,651
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Psychologist providers in Maryland
Rank by total paid#1 of 5
Median peer was paid$69K
This provider vs. median86×
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 | 2,124 | $166K | |
| 2019 | 2,694 | $104K | |
| 2020 | 34,812 | $854K | |
| 2021 | 43,557 | $1.14M | |
| 2022 | 38,046 | $1.37M | |
| 2023 | 32,043 | $1.28M | |
| 2024incomplete | 25,375 | $1.01M |
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 | 38% | 51,089 | 43,713 | $2.23M |
| 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 | 34% | 28,348 | 24,869 | $2.03M |
| 99484 | 7.1% | 20,093 | 17,857 | $418K | |
| 96127 | 3.8% | 27,101 | 24,443 | $223K | |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 2.6% | 263 | 244 | $151K |
| 99493 | 2.2% | 1,689 | 1,478 | $129K | |
| 64483 | 1.7% | 693 | 622 | $102K | |
| 96132 | 1.3% | 1,587 | 1,411 | $78K | |
| 93922 | 1.2% | 1,167 | 1,082 | $71K | |
| 95923 | 1.2% | 980 | 901 | $71K | |
| 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 | 1.2% | 732 | 675 | $68K |
| 96160 | 1.0% | 27,253 | 24,500 | $60K |
19 more codes
| 99439 | <1% | 2,856 | $57K | |
| 95921 | <1% | 1,096 | $52K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 306 | $45K |
| 96138 | <1% | 1,227 | $29K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 1,711 | $26K |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 301 | $16K |
| 99072 | <1% | 3,479 | $10K | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 577 | $9K |
| 97750 | <1% | 542 | $8K | |
| 99490 | Ccm add 20min | <1% | 4,004 | $7K |
| L0180 | Cervical, multiple post collar, occipital/mandibular supports, adjustable | <1% | 28 | $7K |
| 64493 | <1% | 39 | $5K | |
| 99492 | <1% | 38 | $5K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 884 | $4K |
| 64494 | <1% | 39 | $3K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 449 | $1K |
| 64495 | <1% | 13 | $1K | |
| 64484 | <1% | 17 | $894.12 | |
| INVCD | 0% | 50 | $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 officialRAO, SUDHIR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Naspacva, LLC | Harrisonburg, VA | $178K |
| Pediatric Gastroenterology Specialists of Maryland LLC | Elkridge, MD | $12K |
| Pain and Spine Specialists of Maryland, LLC | Mount Airy, MD | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.