Physician
Integrative Sports and Spine INC
Integrative Sports and Spine INC was paid $3.42M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 53% of everything it billed.
33Billing provider infoINTEGRATIVE SPORTS AND SPINE INC
IRVINE, CA 92618
IRVINE, CA 92618
33aNPI1245630557assigned 08/25/2014
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$3.42M
24GClaims270,141
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in California
Rank by total paid#6 of 70
Median peer was paid$39K
This provider vs. median89×
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 | 11,611 | $82K | |
| 2019 | 21,150 | $258K | |
| 2020 | 32,659 | $419K | |
| 2021 | 33,870 | $566K | |
| 2022 | 50,110 | $700K | |
| 2023 | 59,491 | $892K | |
| 2024incomplete | 61,250 | $504K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 53% | 125,847 | 34,257 | $1.82M |
| 99308 | Subsequent nursing facility care, per day, straightforward | 31% | 103,018 | 30,018 | $1.06M |
| 99306 | Prolong nursin fac eval 15m | 5.0% | 6,781 | 6,580 | $171K |
| 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 | 4.9% | 1,689 | 1,604 | $166K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 607 | 605 | $68K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 623 | 580 | $45K |
| 99305 | 1.2% | 2,341 | 2,255 | $41K | |
| 99307 | <1% | 2,571 | 1,206 | $22K | |
| 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% | 86 | 86 | $13K |
| 99223 | Prolong inpt eval add15 m | <1% | 56 | 52 | $4K |
| 99310 | Prolong nursin fac eval 15m | <1% | 285 | 273 | $4K |
| 62323 | <1% | 42 | 42 | $4K |
19 more codes
| 80305 | <1% | 86 | $1K | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 800 | $624.20 |
| 0518F | <1% | 2,680 | $596.20 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 1,053 | $573.53 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | <1% | 592 | $141.16 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 90 | $117.50 |
| 3288F | <1% | 2,217 | $113.55 | |
| 1124F | <1% | 950 | $83.66 | |
| G9916 | Functional status performed once in the last 12 months | <1% | 4,779 | $80.24 |
| 1123F | 0% | 8,472 | $0.00 | |
| 1036F | 0% | 69 | $0.00 | |
| 4086F | 0% | 150 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 352 | $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% | 420 | $0.00 |
| 1100F | 0% | 342 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 387 | $0.00 |
| G9923 | Safety concerns screen provided and negative | 0% | 343 | $0.00 |
| G9368 | At least two orders for high-risk medications from the same drug class not ordered | 0% | 2,399 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 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 officialLEE, HENRY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Passaic Board of Education | Passaic, NJ | $32.73M |
| Eastern Shore Children's Clinic | Fairhope, AL | $7.58M |
| Durable Health Medical Supply LLC | Brooklyn, NY | $43K |
| Permacare LLC | St George, UT | $31K |
| Eastern Shore Children's Clinic, P.C. | Spanish Fort, AL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.