BETTER LIFE PAIN CLINIC, PLLC

$32K

Total Medicaid Paid

11,446

Total Claims

5,217

Beneficiaries

23

Codes Billed

2018-01

First Month

2019-09

Last Month

Authorized Official	KO, SU MIN (OWNER)
NPI Enumeration Date	06/21/2012

Provider	City	State	Total Paid
BETTER LIFE PAIN CLINIC, PLLC	ANNANDALE	VA	$26K
BETTER LIFE PAIN CLINIC, PLLC	ROCKVILLE	MD	$5K

Year	Claims	Total Paid
2018	6,937	$10K
2019	4,509	$22K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3,263	1,323	$10K
20610		737	342	$3K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	663	370	$3K
92548		537	314	$2K
64493		272	113	$2K
76942		312	161	$2K
J1030	Injection, methylprednisolone acetate, 40 mg	1,506	698	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	734	328	$1K
20550		246	127	$1K
20553		88	43	$961.86
64635		21	12	$587.40
J1100	Injection, dexamethasone sodium phosphate, 1 mg	152	80	$562.54
64636		21	12	$489.84
J7324	Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	61	25	$474.54
64483		76	40	$444.58
64494		273	113	$440.67
64495		273	113	$417.23
J1040	Injection, methylprednisolone acetate, 80 mg	289	130	$376.29
64484		74	40	$245.82
62323		69	26	$171.51
77003		225	111	$157.28
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	719	322	$149.98
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	835	374	$12.05

Medicaid Provider Spending