Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Worcester › NPI 1336631456
Physician

Worcester Pain Management PLLC

Worcester Pain Management PLLC was paid $534K by Medicaid between Jan 2019 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoWORCESTER PAIN MANAGEMENT PLLC
WORCESTER, MA 01605
33aNPI1336631456assigned 06/04/2018
28Total paid$534K
24GClaims14,631
24DCodes billed17
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Massachusetts

Rank by total paid#5 of 63
Median peer was paid$20K
This provider vs. median26×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20191,263$60K
20203,154$138K
20213,488$134K
20223,013$97K
20232,124$62K
2024incomplete1,589$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 54% 6,875 6,204 $287K
64635 7.9% 274 273 $42K
64493 6.6% 571 567 $35K
64636 6.4% 277 273 $34K
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 4.5% 318 309 $24K
99205 Prolong outpt/office vis 3.6% 205 195 $19K
62323 3.5% 183 182 $18K
64494 3.1% 569 565 $17K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.1% 587 510 $17K
77002 2.1% 1,248 358 $11K
80305 1.9% 2,633 2,461 $10K
64495 1.5% 203 203 $8K
5 more codes
20610 1.1% 600 $6K
J7322 Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg <1% 22 $3K
27096 <1% 13 $952.81
J1040 Injection, methylprednisolone acetate, 80 mg <1% 39 $155.91
J1030 Injection, methylprednisolone acetate, 40 mg <1% 14 $47.50

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 officialMOUSAD, DEMIAN (OWNER)