Physician
Medical Pain Consultants,inc
Medical Pain Consultants,inc was paid $375K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.
33Billing provider infoMEDICAL PAIN CONSULTANTS,INC
FREEVILLE, NY 13068
FREEVILLE, NY 13068
33aNPI1396816963assigned 11/13/2006
33bProvider typePain Medicine Physician
28Total paid$375K
24GClaims26,585
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine Physician providers in New York
Rank by total paid#8 of 47
Median peer was paid$12K
This provider vs. median31×
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 | 2,522 | $41K | |
| 2019 | 2,800 | $46K | |
| 2020 | 3,143 | $47K | |
| 2021 | 2,854 | $60K | |
| 2022 | 5,760 | $71K | |
| 2023 | 5,577 | $63K | |
| 2024incomplete | 3,929 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 86% | 4,296 | 3,890 | $322K |
| 80305 | 5.4% | 4,085 | 3,699 | $20K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.9% | 1,285 | 1,224 | $18K |
| 20611 | 1.7% | 84 | 57 | $6K | |
| 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 | <1% | 27 | 26 | $3K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,275 | 1,216 | $2K |
| 98926 | <1% | 42 | 39 | $2K | |
| 98925 | <1% | 13 | 13 | $322.97 | |
| 96127 | <1% | 57 | 56 | $274.47 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 72 | 70 | $203.25 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,591 | 4,088 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 1,754 | 1,500 | $0.00 |
15 more codes
| 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 | 0% | 1,049 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,246 | $0.00 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | 0% | 626 | $0.00 |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 99 | $0.00 |
| G9561 | Patients prescribed opiates for longer than six weeks | 0% | 44 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 88 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 20 | $0.00 |
| G9577 | Patients prescribed opiates for longer than six weeks | 0% | 44 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 1,072 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 883 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,561 | $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) | 0% | 1,045 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 119 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 338 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 770 | $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 officialORTIZ, RALPH (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Medical Pain Consultant, Osteopathy of Tompkins County, P.C. | Freeville, NY | $375K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.