SOUTHWEST PAIN CLINIC PA
NPI: 1396180618
· SAN ANTONIO, TX 78224
· 173000000X
$474K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
377 |
$2K |
| 2019 |
3,378 |
$8K |
| 2020 |
8,724 |
$114K |
| 2021 |
12,020 |
$208K |
| 2022 |
8,073 |
$133K |
| 2023 |
286 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
8,059 |
7,527 |
$190K |
| 95924 |
|
1,155 |
1,134 |
$57K |
| 99213 |
|
3,370 |
3,275 |
$55K |
| 97110 |
|
807 |
289 |
$34K |
| 95816 |
|
228 |
223 |
$32K |
| 64483 |
|
349 |
333 |
$24K |
| 80305 |
|
5,001 |
4,748 |
$21K |
| 87811 |
|
368 |
315 |
$13K |
| 97530 |
|
464 |
182 |
$8K |
| 95923 |
|
174 |
168 |
$7K |
| 93040 |
|
1,495 |
1,466 |
$6K |
| 95930 |
|
230 |
224 |
$6K |
| 99152 |
|
681 |
662 |
$4K |
| 96372 |
|
568 |
545 |
$4K |
| 99215 |
Prolong outpt/office vis |
47 |
47 |
$3K |
| 99211 |
|
369 |
316 |
$2K |
| 97162 |
|
19 |
18 |
$1K |
| 20610 |
|
63 |
50 |
$1K |
| 81025 |
|
465 |
404 |
$1K |
| 93923 |
|
1,151 |
1,131 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
133 |
129 |
$356.09 |
| 99204 |
|
12 |
12 |
$355.76 |
| J1885 |
Ketorolac tromethamine inj |
415 |
400 |
$250.47 |
| J3010 |
Fentanyl citrate injection |
637 |
537 |
$185.91 |
| 96138 |
|
226 |
223 |
$153.50 |
| J1100 |
Dexamethasone sodium phos |
607 |
598 |
$103.32 |
| 92650 |
|
205 |
199 |
$44.38 |
| 0011A |
|
19 |
19 |
$33.88 |
| J2250 |
Inj midazolam hydrochloride |
753 |
663 |
$6.85 |
| J2795 |
Ropivacaine hcl injection |
131 |
125 |
$0.00 |
| 82962 |
|
3,887 |
3,427 |
$0.00 |
| 0012A |
|
16 |
16 |
$0.00 |
| 97140 |
|
36 |
14 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
444 |
435 |
$0.00 |
| 95957 |
|
228 |
223 |
$0.00 |
| 92585 |
|
12 |
12 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
34 |
33 |
$0.00 |