Physician
Physician's Pain and Spine Center, LLC
Physician's Pain and Spine Center, LLC was paid $30K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
33Billing provider infoPHYSICIAN'S PAIN AND SPINE CENTER, LLC
WEST COUMBIA, SC 29169
WEST COUMBIA, SC 29169
33aNPI1336475573assigned 10/22/2009
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$30K
24GClaims4,408
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in South Carolina
Rank by total paid#14 of 25
Median peer was paid$41K
This provider vs. median0.7×
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 | 113 | $2K | |
| 2019 | 316 | $3K | |
| 2020 | 573 | $3K | |
| 2021 | 856 | $4K | |
| 2022 | 860 | $5K | |
| 2023 | 654 | $5K | |
| 2024incomplete | 1,036 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 79% | 3,359 | 3,091 | $24K |
| 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 | 20% | 712 | 684 | $6K |
| 99442 | <1% | 57 | 27 | $270.13 | |
| 99422 | <1% | 17 | 14 | $35.58 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 12 | 12 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 251 | 245 | $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 officialGROSSLIGHT, KENNETH (PRESIDENT/OWNER)