Southeast PA Pain Management, LTD
Southeast PA Pain Management, LTD was paid $766K by Medicaid between Aug 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.
33Billing provider infoSOUTHEAST PA PAIN MANAGEMENT, LTD
HORSHAM, PA 19044
HORSHAM, PA 19044
33aNPI1396747531assigned 06/01/2005
33bProvider typeSpecialist
28Total paid$766K
24GClaims30,587
24DCodes billed12
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#15 of 543
Median peer was paid$16K
This provider vs. median49×
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 | 498 | $6.10 | |
| 2020 | 686 | $7K | |
| 2021 | 3,851 | $39K | |
| 2022 | 6,284 | $83K | |
| 2023 | 9,327 | $264K | |
| 2024incomplete | 9,941 | $374K |
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 | 94% | 23,182 | 21,507 | $720K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 795 | 762 | $22K |
| 62323 | 1.2% | 250 | 247 | $9K | |
| 96127 | <1% | 4,929 | 4,477 | $8K | |
| 99205 | Prolong outpt/office vis | <1% | 47 | 47 | $5K |
| 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% | 89 | 88 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 410 | 402 | $501.70 |
| 99406 | <1% | 79 | 72 | $288.75 | |
| 99490 | Ccm add 20min | <1% | 198 | 198 | $185.04 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 0% | 379 | 364 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 13 | 13 | $0.00 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 216 | 216 | $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 officialSASSO, PHILIP (PRESIDENT)