Medicaid Provider Spending

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

MID MISSOURI PAIN MANAGEMENT LLC

NPI: 1265720114 · COLUMBIA, MO 65201 · Interventional Pain Medicine Physician · NPI assigned 07/13/2011

$912K
Total Medicaid Paid
16,539
Total Claims
15,240
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNOBLE, BRADFORD (OWNER/PRESIDENT)
NPI Enumeration Date07/13/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,731 $57K
2019 1,732 $64K
2020 1,664 $73K
2021 2,274 $100K
2022 2,675 $153K
2023 3,708 $290K
2024 2,755 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
62323 4,030 3,644 $382K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,520 4,129 $218K
63650 138 56 $109K
62321 856 794 $78K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 700 664 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,657 1,499 $57K
27096 58 52 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,769 2,675 $3K
99205 Prolong outpt/office vis 22 21 $3K
20610 13 12 $238.71
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 763 701 $123.67
1036F 63 63 $0.00
J3490 Unclassified drugs 543 530 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 347 342 $0.00
4004F 60 58 $0.00