Medicaid Provider Spending

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

MEDICAL PAIN CONSULTANT, OSTEOPATHY OF TOMPKINS COUNTY, P.C.

NPI: 1225106313 · FREEVILLE, NY 13068 · Pain Medicine Physician · NPI assigned 11/30/2006

$375K
Total Medicaid Paid
21,797
Total Claims
20,351
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialORTIZ, RALPH (MEDICAL DIRECTOR)
NPI Enumeration Date11/30/2006

Related Entities

Other providers sharing the same authorized official: ORTIZ, RALPH

ProviderCityStateTotal Paid
MEDICAL PAIN CONSULTANTS,INC FREEVILLE NY $375K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,659 $102K
2019 4,325 $64K
2020 3,415 $48K
2021 3,461 $59K
2022 2,268 $51K
2023 1,272 $31K
2024 397 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,711 2,522 $230K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,253 2,131 $125K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 870 844 $15K
80305 192 179 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 836 811 $2K
98926 16 15 $701.34
98925 14 14 $437.08
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,643 2,440 $17.57
G8783 Normal blood pressure reading documented, follow-up not required 1,610 1,511 $0.00
4004F 1,057 970 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 1,580 1,452 $0.00
G9562 Patients who had a follow-up evaluation conducted at least every three months during opioid therapy 516 495 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 25 25 $0.00
G9578 Documentation of signed opioid treatment agreement at least once during opioid therapy 60 57 $0.00
G9561 Patients prescribed opiates for longer than six weeks 30 28 $0.00
G9905 Patient not screened for tobacco use 15 15 $0.00
G9577 Patients prescribed opiates for longer than six weeks 30 28 $0.00
1036F 1,079 1,009 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 1,164 1,069 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,078 1,008 $0.00
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 1,073 987 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 2,016 1,860 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 111 104 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 514 477 $0.00
1006F 24 24 $0.00
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) 72 69 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 208 207 $0.00