Medicaid Provider Spending

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

MEDICAL PAIN CONSULTANTS,INC

NPI: 1396816963 · FREEVILLE, NY 13068 · Pain Medicine Physician · NPI assigned 11/13/2006

$375K
Total Medicaid Paid
26,585
Total Claims
24,322
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialORTIZ, RALPH (MEDICAL DIRECTOR)
NPI Enumeration Date11/13/2006

Related Entities

Other providers sharing the same authorized official: ORTIZ, RALPH

ProviderCityStateTotal Paid
MEDICAL PAIN CONSULTANT, OSTEOPATHY OF TOMPKINS COUNTY, P.C. FREEVILLE NY $375K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,522 $41K
2019 2,800 $46K
2020 3,143 $47K
2021 2,854 $60K
2022 5,760 $71K
2023 5,577 $63K
2024 3,929 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,296 3,890 $322K
80305 4,085 3,699 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,285 1,224 $18K
20611 84 57 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27 26 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,275 1,216 $2K
98926 42 39 $2K
98925 13 13 $322.97
96127 57 56 $274.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 72 70 $203.25
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,591 4,088 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 1,754 1,500 $0.00
G0029 Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period 1,049 978 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 1,246 1,174 $0.00
G9562 Patients who had a follow-up evaluation conducted at least every three months during opioid therapy 626 603 $0.00
G9578 Documentation of signed opioid treatment agreement at least once during opioid therapy 99 98 $0.00
G9561 Patients prescribed opiates for longer than six weeks 44 44 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 88 84 $0.00
G9905 Patient not screened for tobacco use 20 20 $0.00
G9577 Patients prescribed opiates for longer than six weeks 44 44 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 1,072 997 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 883 820 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,561 1,455 $0.00
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 1,045 975 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 119 105 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 338 331 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 770 716 $0.00