Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GML PAIN MD PSC

NPI: 1396120820 · LOUISVILLE, KY 40241 · Interventional Pain Medicine Physician · NPI assigned 07/27/2015

$3.90M
Total Medicaid Paid
115,429
Total Claims
97,234
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, JEFFERNIKA (PRACTICE MANAGER)
NPI Enumeration Date07/27/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,908 $301K
2019 14,340 $538K
2020 23,837 $899K
2021 26,129 $915K
2022 16,592 $437K
2023 15,047 $429K
2024 10,576 $385K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 33,801 26,373 $1.47M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,544 26,653 $915K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,683 10,363 $549K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,870 3,360 $308K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,550 12,873 $284K
62323 1,043 948 $125K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,124 5,606 $66K
99406 4,012 3,683 $32K
99408 1,581 1,398 $25K
90791 Psychiatric diagnostic evaluation 322 312 $21K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,743 1,469 $17K
90832 Psychotherapy, 30 minutes with patient 523 406 $16K
20610 267 241 $12K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 706 402 $12K
77002 273 245 $10K
97151 243 203 $7K
64493 60 52 $6K
90837 Psychotherapy, 53 minutes with patient 75 55 $5K
J1040 Injection, methylprednisolone acetate, 80 mg 445 416 $4K
64635 13 12 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 749 642 $3K
64494 46 38 $3K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 895 774 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 610 515 $2K
90834 Psychotherapy, 45 minutes with patient 29 28 $2K
64636 14 12 $1K
20553 33 29 $1K
90853 Group psychotherapy (other than of a multiple-family group) 118 83 $1K
90838 24 14 $961.77
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 18 15 $316.30
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 15 14 $246.00