Physician
Brain Spine and Sleep Institute LLC
Brain Spine and Sleep Institute LLC was paid $1.75M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 27096, — 51% of everything it billed.
33Billing provider infoBRAIN SPINE AND SLEEP INSTITUTE LLC
LAKE WALES, FL 33853
LAKE WALES, FL 33853
33aNPI1386190734assigned 08/26/2016
33bProvider typePain Medicine (Psychiatry & Neurology) Physician
28Total paid$1.75M
24GClaims39,074
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Psychiatry & Neurology) Physician providers in Florida
Rank by total paid#1 of 5
Median peer was paid$7K
This provider vs. median242×
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 | 1,358 | $8K | |
| 2019 | 5,462 | $195K | |
| 2020 | 9,524 | $439K | |
| 2021 | 7,130 | $339K | |
| 2022 | 6,901 | $250K | |
| 2023 | 5,512 | $309K | |
| 2024incomplete | 3,187 | $206K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 27096 | 51% | 3,900 | 3,313 | $891K | |
| 64493 | 13% | 4,214 | 3,608 | $233K | |
| 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 | 8.3% | 4,244 | 3,744 | $145K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 3,920 | 3,464 | $95K |
| 64483 | 5.1% | 383 | 337 | $89K | |
| 64490 | 5.0% | 357 | 326 | $87K | |
| 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 | 3.1% | 650 | 566 | $54K |
| 64495 | 1.9% | 4,058 | 3,451 | $34K | |
| 64494 | 1.9% | 4,213 | 3,583 | $34K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 1.7% | 5,673 | 4,834 | $29K |
| 64636 | <1% | 30 | 27 | $11K | |
| 95819 | <1% | 40 | 36 | $8K |
14 more codes
| 64491 | <1% | 342 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 73 | $5K |
| 64635 | <1% | 30 | $5K | |
| 64492 | <1% | 290 | $5K | |
| 80305 | <1% | 3,238 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 247 | $3K |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 401 | $2K |
| 64644 | <1% | 18 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 95886 | <1% | 26 | $2K | |
| 64484 | <1% | 351 | $906.75 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 1,558 | $454.13 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 781 | $83.03 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 0% | 24 | $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 officialMOUSLI, HASAN (OWNER/MD)