Physician
Lowell Spine and Pain Associates
Lowell Spine and Pain Associates was paid $404K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoLOWELL SPINE AND PAIN ASSOCIATES
LOWELL, MA 01852
LOWELL, MA 01852
33aNPI1245592419assigned 06/13/2012
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$404K
24GClaims11,542
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Massachusetts
Rank by total paid#7 of 63
Median peer was paid$20K
This provider vs. median20×
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 | 1,320 | $43K | |
| 2019 | 1,573 | $49K | |
| 2020 | 1,405 | $53K | |
| 2021 | 1,598 | $57K | |
| 2022 | 1,237 | $55K | |
| 2023 | 2,173 | $66K | |
| 2024incomplete | 2,236 | $81K |
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 | 50% | 5,397 | 5,059 | $203K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 4,458 | 4,242 | $113K |
| 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 | 13% | 920 | 915 | $52K |
| 64483 | 2.9% | 202 | 200 | $12K | |
| 62323 | 2.5% | 249 | 244 | $10K | |
| 99493 | 2.1% | 138 | 128 | $8K | |
| 99494 | <1% | 101 | 92 | $4K | |
| 62321 | <1% | 24 | 24 | $950.66 | |
| 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% | 24 | 24 | $811.62 |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | <1% | 15 | 15 | $228.53 |
| 99443 | <1% | 14 | 14 | $29.50 |
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 officialHENKLE, BENJAMIN (OWNER)