Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Ace Pain Management Rehab & Physical Therapy PLLC

Ace Pain Management Rehab & Physical Therapy PLLC was paid $912K by Medicaid between Jan 2018 and Nov 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoACE PAIN MANAGEMENT REHAB & PHYSICAL THERAPY PLLC
BROWNSVILLE, TX 78526
33aNPI1225396401assigned 04/25/2012
33bProvider typePain Clinic/Center
28Total paid$912K
24GClaims103,481
24DCodes billed56
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pain Clinic/Center providers in Texas

Rank by total paid#2 of 12
Median peer was paid$7K
This provider vs. median126×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201821,102$8K
201920,947$7K
202017,434$111K
202120,177$269K
202210,254$225K
20237,025$185K
2024incomplete6,542$107K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 11,118 9,165 $216K
95911 13% 1,438 1,328 $115K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11% 7,740 1,631 $98K
95886 10% 1,434 1,325 $96K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5.3% 6,968 1,474 $48K
64493 4.6% 538 447 $42K
64483 4.3% 404 329 $39K
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 3.9% 901 843 $36K
64484 3.3% 396 316 $30K
97163 2.9% 464 446 $27K
64494 2.4% 549 458 $22K
20611 2.4% 727 562 $22K
44 more codes
97530 Therapeutic activities, direct patient contact, each 15 minutes 2.2% 2,029 $20K
64495 2.2% 514 $20K
76882 1.7% 1,520 $16K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.7% 3,500 $15K
76942 1.5% 1,242 $13K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1.3% 3,711 $12K
64635 <1% 99 $6K
64636 <1% 98 $4K
20610 <1% 392 $4K
20550 <1% 362 $3K
20604 <1% 164 $2K
97035 <1% 361 $2K
99000 <1% 203 $1K
80305 <1% 186 $1K
20551 <1% 112 $911.99
20600 <1% 109 $660.99
77003 <1% 1,306 $598.57
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 742 $245.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 301 $232.85
97032 <1% 563 $174.18
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 280 $147.40
97164 <1% 12 $135.84
77002 <1% 12 $76.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 34 $26.55
1124F 0% 3,972 $0.00
3288F 0% 4,119 $0.00
G8539 Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment 0% 3,703 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 314 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 1,656 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 3,133 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 4,128 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 4,088 $0.00
1100F 0% 3,508 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 1,894 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 1,644 $0.00
G8421 Bmi not documented and no reason is given 0% 15 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 75 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 75 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 1,676 $0.00
1111F 0% 3,585 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 3,931 $0.00
1006F 0% 3,837 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 3,909 $0.00
1036F 0% 3,690 $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 officialRAGUTHU, SURYA (MEDICAL DOCTOR)