Physician
Advanced Spine and Pain Centers, PLLC
Advanced Spine and Pain Centers, PLLC was paid $2.53M by Medicaid between Jan 2018 and Oct 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.
33Billing provider infoADVANCED SPINE AND PAIN CENTERS, PLLC
STAFFORD, VA 22554
STAFFORD, VA 22554
33aNPI1215266267assigned 12/21/2009
33bProvider typeOrthopaedic Surgery Physician
28Total paid$2.53M
24GClaims45,877
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Virginia
Rank by total paid#3 of 79
Median peer was paid$6K
This provider vs. median417×
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 | 2,652 | $94K | |
| 2019 | 2,928 | $92K | |
| 2020 | 8,860 | $437K | |
| 2021 | 10,949 | $648K | |
| 2022 | 10,985 | $718K | |
| 2023 | 9,503 | $543K |
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 | 86% | 34,199 | 28,038 | $2.18M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 8.1% | 7,272 | 6,025 | $206K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 3,231 | 2,823 | $112K |
| 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 | 1.3% | 241 | 233 | $33K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 156 | 133 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 47 | 37 | $45.83 |
| 99072 | <1% | 326 | 302 | $6.57 | |
| 1006F | 0% | 15 | 14 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 27 | 21 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 12 | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 336 | 283 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 15 | 14 | $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 officialIONITA, AURA (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Ideal Pain Management, LLC | Towson, MD | $2.20M |
| Laboratory RX, LLC | Frederick, MD | $367K |
| Advanced Spine and Pain Centers, PLLC | Stafford, VA | $279K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.