Physician
Pain Management Plus PLLC
Pain Management Plus PLLC was paid $1.11M by Medicaid between Oct 2019 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPAIN MANAGEMENT PLUS PLLC
FOREST CITY, NC 28043
FOREST CITY, NC 28043
33aNPI1215596135assigned 06/13/2019
33bProvider typeFamily Medicine Physician
28Total paid$1.11M
24GClaims79,571
24DCodes billed29
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#131 of 960
Median peer was paid$135K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2019 | 2,590 | $13K | |
| 2020 | 14,939 | $132K | |
| 2021 | 32,106 | $198K | |
| 2022 | 9,343 | $224K | |
| 2023 | 10,738 | $251K | |
| 2024incomplete | 9,855 | $292K |
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 | 48% | 16,381 | 11,905 | $538K |
| 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 | 40% | 9,758 | 7,484 | $440K |
| 80305 | 8.7% | 12,930 | 9,207 | $96K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 364 | 309 | $19K |
| 96127 | <1% | 1,917 | 1,424 | $9K | |
| 99406 | <1% | 690 | 581 | $5K | |
| 96160 | <1% | 942 | 709 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 64 | 54 | $734.58 |
| 99401 | <1% | 105 | 88 | $46.77 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | 13 | $39.14 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 60 | 36 | $15.45 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 49 | 29 | $10.45 |
17 more codes
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $6.63 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 421 | $0.00 |
| 1101F | 0% | 120 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 601 | $0.00 |
| G9583 | Patients prescribed opiates for longer than six weeks | 0% | 4,030 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 427 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 407 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 318 | $0.00 |
| G9584 | Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy | 0% | 4,392 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,096 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 1,154 | $0.00 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | 0% | 4,033 | $0.00 |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 4,039 | $0.00 |
| G9561 | Patients prescribed opiates for longer than six weeks | 0% | 4,020 | $0.00 |
| G9577 | Patients prescribed opiates for longer than six weeks | 0% | 4,026 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 4,153 | $0.00 |
| 3288F | 0% | 47 | $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 officialHEWITT, DONNA (OWNER)