Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP

NPI: 1265435416 · SAN LUIS OBISPO, CA 93405 · Specialist · NPI assigned 05/23/2005

$8.59M
Total Medicaid Paid
353,496
Total Claims
327,240
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGRIBANOVA, INNA (MANAGER)
NPI Enumeration Date05/23/2005

Related Entities

Other providers sharing the same authorized official: GRIBANOVA, INNA

ProviderCityStateTotal Paid
CYPRESS AMBULATORY SURGERY CENTER SANTA MARIA CA $3.90M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43,921 $941K
2019 50,225 $1.04M
2020 61,299 $1.13M
2021 78,064 $1.76M
2022 52,464 $1.90M
2023 45,676 $1.00M
2024 21,847 $816K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 77,202 71,199 $5.05M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 40,901 39,493 $1.53M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35,009 31,826 $457K
62323 2,000 1,955 $230K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,601 1,601 $184K
01938 3,890 3,762 $180K
01936 4,331 3,997 $167K
01935 4,202 3,783 $112K
64493 1,323 829 $110K
99442 7,909 7,490 $83K
27096 391 264 $80K
J7999 Compounded drug, not otherwise classified 741 629 $71K
64483 686 577 $69K
62321 478 468 $60K
64484 564 458 $55K
01937 1,092 1,049 $55K
99443 1,591 1,551 $28K
76942 1,427 1,375 $20K
01160 422 419 $13K
62370 1,465 1,405 $10K
99358 Prolong nursin fac eval 15m 239 221 $9K
20610 322 263 $5K
98968 80 78 $3K
01940 41 41 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 80 76 $2K
98967 298 296 $2K
62367 695 578 $2K
64494 16 12 $830.97
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 180 180 $801.40
95970 266 211 $637.67
99205 Prolong outpt/office vis 32 32 $70.79
96146 39 39 $42.97
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 54,836 49,519 $15.65
62368 21 14 $7.40
1036F 24,529 22,994 $0.01
G9578 Documentation of signed opioid treatment agreement at least once during opioid therapy 7,548 7,100 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 9,489 8,978 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 19,191 17,093 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 11,921 11,171 $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 9,331 8,667 $0.00
G9365 One high-risk medication ordered 200 182 $0.00
G9562 Patients who had a follow-up evaluation conducted at least every three months during opioid therapy 9,436 8,734 $0.00
4004F 246 236 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 2,056 1,984 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 6,441 6,003 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 3,893 3,775 $0.00
1006F 732 701 $0.00
G9583 Patients prescribed opiates for longer than six weeks 4,010 3,832 $0.00
99058 89 87 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 14 13 $0.00