Physician
Lags Spine and Sportscare Medical Centers, INC.
Lags Spine and Sportscare Medical Centers, INC. was paid $617K by Medicaid between Jun 2018 and May 2021, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoLAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
VENTURA, CA 93003
VENTURA, CA 93003
33aNPI1255828174assigned 04/16/2018
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$617K
24GClaims11,565
24DCodes billed33
24AFirst – last monthJun 2018 – May 2021
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in California
Rank by total paid#16 of 70
Median peer was paid$39K
This provider vs. median16×
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 | 1,290 | $7K | |
| 2019 | 5,920 | $375K | |
| 2020 | 4,147 | $223K | |
| 2021 | 208 | $13K |
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 | 45% | 4,627 | 4,454 | $277K |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 17% | 513 | 507 | $106K |
| 99490 | Ccm add 20min | 8.6% | 1,209 | 1,209 | $53K |
| 95886 | 5.9% | 232 | 219 | $37K | |
| 96138 | 5.1% | 955 | 942 | $31K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 575 | 559 | $23K |
| 95911 | 2.7% | 95 | 91 | $17K | |
| 88356 | 1.5% | 14 | 14 | $9K | |
| 99442 | 1.2% | 244 | 244 | $8K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.2% | 97 | 95 | $7K |
| 88360 | <1% | 14 | 14 | $6K | |
| 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% | 54 | 54 | $5K |
21 more codes
| 64483 | <1% | 32 | $5K | |
| 99443 | <1% | 102 | $5K | |
| 99000 | <1% | 2,045 | $4K | |
| 64635 | <1% | 15 | $4K | |
| 88319 | <1% | 14 | $3K | |
| 95924 | <1% | 19 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $3K |
| 88314 | <1% | 14 | $2K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 14 | $2K |
| 95913 | <1% | 13 | $2K | |
| 64636 | <1% | 15 | $2K | |
| 99406 | <1% | 147 | $2K | |
| Q3014 | Telehealth originating site facility fee | <1% | 81 | $1K |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 67 | $790.87 |
| 96103 | <1% | 103 | $569.80 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 76 | $456.28 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $264.29 |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 66 | $100.44 |
| 97813 | <1% | 17 | $69.50 | |
| 97814 | <1% | 17 | $69.50 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 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 officialD'AMATO, AMY (CONTRACTS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Lags Spine and Sportscare Medical Centers, INC. | Salinas, CA | $374K |
| Lags Spine and Sportscare Medical Centers, INC. | Merced, CA | $353K |
| Lags Spine and Sportscare Medical Centers, INC. | Portland, OR | $4K |
| Lags Spine and Sportscare Medical Centers, INC. | Sacramento, CA | $640.91 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.