Pain Medicine and Anesthesia PC

Pain Medicine and Anesthesia PC was paid $1.93M by Medicaid between Jan 2018 and Dec 2019, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoPAIN MEDICINE AND ANESTHESIA PC
FRANKLIN LAKES, NJ 07417

33aNPI1386925394assigned 09/02/2011

33bProvider typePain Medicine (Anesthesiology) Physician

28Total paid$1.93M

24GClaims61,644

24DCodes billed28

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in New Jersey

Rank by total paid#5 of 35

Median peer was paid$38K

This provider vs. median51×

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	52,559	$1.62M
2019	9,085	$308K

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	68%	33,290	18,474	$1.30M
G0434	Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter	13%	15,909	9,911	$251K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	4.0%	535	523	$77K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	3.1%	757	699	$59K
94060		2.0%	925	779	$38K
93892		1.8%	303	302	$35K
98925		1.5%	2,477	2,216	$29K
93890		1.4%	261	260	$28K
11721		1.4%	1,601	1,421	$26K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.3%	339	338	$25K
69210		<1%	759	729	$11K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	1,202	1,124	$10K

16 more codes

93000		<1%	595	$7K
20552		<1%	186	$5K
36415	Collection of venous blood by venipuncture	<1%	1,238	$5K
95044		<1%	183	$4K
94664		<1%	374	$3K
98926		<1%	119	$2K
20553		<1%	67	$2K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	51	$2K
93882		<1%	19	$1K
94010		<1%	56	$1K
93886		<1%	14	$1K
93922		<1%	26	$801.59
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	168	$712.97
82962		<1%	143	$170.57
99407		<1%	12	$93.69
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	35	$67.33

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 officialKOSIBOROD, ROMAN (PRESIDENT)