Physician
New York Pain Relief Medicine PLLC
New York Pain Relief Medicine PLLC was paid $2.05M by Medicaid between Jan 2018 and Oct 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoNEW YORK PAIN RELIEF MEDICINE PLLC
VALLEY STREAM, NY 11580
VALLEY STREAM, NY 11580
33aNPI1255729794assigned 01/07/2015
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$2.05M
24GClaims34,945
24DCodes billed28
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in New York
Rank by total paid#6 of 125
Median peer was paid$14K
This provider vs. median147×
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 | 1,661 | $101K | |
| 2019 | 2,999 | $199K | |
| 2020 | 4,544 | $316K | |
| 2021 | 5,726 | $346K | |
| 2022 | 6,956 | $355K | |
| 2023 | 7,622 | $402K | |
| 2024incomplete | 5,437 | $327K |
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 | 49% | 14,760 | 11,224 | $1.01M |
| 64483 | 17% | 1,616 | 1,433 | $350K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.4% | 2,141 | 1,697 | $172K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 1,395 | 1,221 | $95K |
| 64484 | 3.7% | 625 | 592 | $76K | |
| 64636 | 2.5% | 264 | 147 | $52K | |
| 76942 | 2.5% | 1,014 | 882 | $51K | |
| 64635 | 2.1% | 153 | 147 | $44K | |
| 62370 | 1.8% | 744 | 639 | $37K | |
| 99205 | Prolong outpt/office vis | 1.8% | 282 | 280 | $37K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.3% | 2,594 | 2,395 | $27K |
| 80305 | 1.2% | 5,229 | 4,935 | $24K |
16 more codes
| 62321 | <1% | 113 | $18K | |
| 27096 | <1% | 89 | $14K | |
| 20611 | <1% | 265 | $13K | |
| 64493 | <1% | 83 | $12K | |
| 64494 | <1% | 71 | $5K | |
| L0637 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 13 | $5K |
| L0631 | Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 15 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,200 | $1K |
| 64495 | <1% | 16 | $856.39 | |
| 99091 | <1% | 13 | $213.51 | |
| A4248 | Chlorhexidine containing antiseptic, 1 ml | <1% | 1,316 | $185.94 |
| A4220 | Refill kit for implantable infusion pump | <1% | 167 | $157.50 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 19 | $29.24 |
| G2142 | Functional status measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively was less than or equal to 22 or functional status measured by the odi version 2.1a within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 30 points or greater | 0% | 663 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 54 | $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% | 31 | $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 officialDO OURO, SUELANE (OWNER/PHYSICIAN)