Physician
Spine and Pain Clinic of North America, LLC
Spine and Pain Clinic of North America, LLC was paid $717K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoSPINE AND PAIN CLINIC OF NORTH AMERICA, LLC
FAIRFAX, VA 22033
FAIRFAX, VA 22033
33aNPI1275985970assigned 07/06/2016
33bProvider typePain Medicine Physician
28Total paid$717K
24GClaims15,536
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine Physician providers in Virginia
Rank by total paid#1 of 9
Median peer was paid$8K
This provider vs. median85×
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 | 378 | $14K | |
| 2019 | 1,220 | $56K | |
| 2020 | 2,454 | $126K | |
| 2021 | 3,105 | $151K | |
| 2022 | 2,706 | $91K | |
| 2023 | 2,597 | $114K | |
| 2024incomplete | 3,076 | $166K |
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 | 47% | 5,015 | 4,548 | $337K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 3,309 | 2,997 | $152K |
| 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 | 13% | 1,039 | 973 | $97K |
| 64635 | 4.1% | 103 | 84 | $30K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.7% | 517 | 506 | $27K |
| 64493 | 3.7% | 155 | 119 | $26K | |
| 64494 | 1.6% | 139 | 106 | $12K | |
| 64636 | 1.5% | 90 | 72 | $11K | |
| 62323 | 1.5% | 71 | 70 | $11K | |
| 99152 | <1% | 125 | 85 | $4K | |
| 01992 | <1% | 72 | 55 | $3K | |
| 96127 | <1% | 481 | 466 | $2K |
13 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 59 | $2K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 195 | $2K |
| 96103 | <1% | 82 | $1K | |
| 1036F | <1% | 1,042 | $1K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 125 | $828.73 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 52 | $294.38 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 123 | $154.85 |
| 96146 | <1% | 82 | $62.38 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 388 | $24.80 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13 | $6.12 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 2,086 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 39 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 134 | $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 officialGHAURI, MAJID (OWNER)