Physician
Valley Pain Clinic LLC
Valley Pain Clinic LLC was paid $300K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoVALLEY PAIN CLINIC LLC
DECATUR, AL 35603
DECATUR, AL 35603
33aNPI1386944239assigned 10/26/2010
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$300K
24GClaims11,087
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Alabama
Rank by total paid#3 of 20
Median peer was paid$16K
This provider vs. median19×
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 | 2,404 | $39K | |
| 2019 | 2,328 | $43K | |
| 2020 | 1,656 | $39K | |
| 2021 | 1,265 | $33K | |
| 2022 | 991 | $34K | |
| 2023 | 1,462 | $65K | |
| 2024incomplete | 981 | $47K |
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 | 61% | 5,988 | 5,333 | $183K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 28% | 3,320 | 3,069 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 1,374 | 1,265 | $23K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 161 | 155 | $7K |
| 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 | 1.2% | 43 | 41 | $4K |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 23 | 22 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 47 | 46 | $0.00 |
| 0518F | 0% | 12 | 12 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 47 | 46 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 18 | 17 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 26 | 25 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 13 | 12 | $0.00 |
1 more codes
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 15 | $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 officialSHIKHTHOLTH, AHMAD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Valley Internal Medicine | Decatur, AL | $39K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.