Physician
Southern Pain and Rehabilitation INC
Southern Pain and Rehabilitation INC was paid $252K by Medicaid between Oct 2020 and Nov 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoSOUTHERN PAIN AND REHABILITATION INC
PADUCAH, KY 42001
PADUCAH, KY 42001
33aNPI1295377497assigned 10/09/2019
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$252K
24GClaims24,258
24DCodes billed31
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Kentucky
Rank by total paid#8 of 29
Median peer was paid$31K
This provider vs. median8.1×
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 | |
|---|---|---|---|
| 2020 | 2,343 | $18K | |
| 2021 | 6,066 | $121K | |
| 2022 | 2,457 | $27K | |
| 2023 | 7,068 | $45K | |
| 2024incomplete | 6,324 | $41K |
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 | 33% | 3,481 | 2,996 | $82K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 5,887 | 4,748 | $78K |
| 62323 | 14% | 377 | 310 | $34K | |
| 64635 | 8.1% | 88 | 60 | $20K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 7.1% | 733 | 700 | $18K |
| 64636 | 3.0% | 80 | 36 | $8K | |
| 99406 | 1.3% | 1,046 | 806 | $3K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 397 | 329 | $2K |
| 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% | 34 | 32 | $2K |
| 62321 | <1% | 25 | 13 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 16 | 13 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 12 | $447.88 |
19 more codes
| 99490 | Ccm add 20min | <1% | 421 | $439.51 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $346.49 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 98 | $84.87 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 28 | $34.63 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 956 | $0.00 |
| 3725F | 0% | 554 | $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% | 2,738 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,328 | $0.00 |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 1,609 | $0.00 |
| 3085F | 0% | 716 | $0.00 | |
| 98960 | 0% | 314 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 12 | $0.00 |
| 4004F | 0% | 100 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 14 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,568 | $0.00 |
| 1036F | 0% | 196 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 196 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 107 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 107 | $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 officialRUXER, JOHN (PRESIDENT)