Physician
Carolina Pain Physicians
Carolina Pain Physicians was paid $1.24M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoCAROLINA PAIN PHYSICIANS
LADSON, SC 29456
LADSON, SC 29456
33aNPI1316283062assigned 12/28/2012
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$1.24M
24GClaims36,158
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in South Carolina
Rank by total paid#2 of 25
Median peer was paid$41K
This provider vs. median30×
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 | 6,287 | $229K | |
| 2019 | 5,828 | $227K | |
| 2020 | 5,189 | $156K | |
| 2021 | 6,328 | $227K | |
| 2022 | 5,064 | $174K | |
| 2023 | 4,338 | $135K | |
| 2024incomplete | 3,124 | $91K |
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 | 58% | 17,644 | 16,667 | $717K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 22% | 7,727 | 7,381 | $271K |
| 62323 | 7.6% | 1,106 | 1,018 | $95K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 2,407 | 2,305 | $71K |
| 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 | 3.6% | 657 | 627 | $45K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,342 | 2,127 | $12K |
| 76942 | <1% | 100 | 92 | $8K | |
| 77002 | <1% | 253 | 200 | $6K | |
| 99152 | <1% | 380 | 358 | $5K | |
| 20610 | <1% | 186 | 145 | $4K | |
| 20552 | <1% | 108 | 101 | $2K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 372 | 350 | $2K |
7 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,409 | $1K |
| 62321 | <1% | 13 | $1K | |
| 20611 | <1% | 18 | $387.74 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 578 | $177.19 |
| A4550 | Surgical trays | <1% | 12 | $60.83 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 571 | $33.76 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 275 | $7.24 |
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 officialOWENS, TONY (OWNER)