Proactive Pain and Neurology, LLC

Proactive Pain and Neurology, LLC was paid $815K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoPROACTIVE PAIN AND NEUROLOGY, LLC
CUMBERLAND, MD 21502

33aNPI1417460619assigned 11/09/2017

33bProvider typePain Medicine (Anesthesiology) Physician

28Total paid$815K

24GClaims12,763

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Maryland

Rank by total paid#7 of 33

Median peer was paid$121K

This provider vs. median6.8×

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	280	$23K
2019	790	$18K
2020	2,311	$89K
2021	2,261	$134K
2022	2,698	$194K
2023	2,402	$190K
2024incomplete	2,021	$168K

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	53%	5,935	5,229	$432K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	45%	5,520	4,004	$365K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	29	29	$4K
96127		<1%	530	368	$3K
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%	15	14	$3K
99406		<1%	143	137	$2K
90682		<1%	36	31	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	13	12	$2K
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	<1%	136	121	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	38	33	$495.73
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	216	192	$461.96
1123F		<1%	38	37	$439.09

6 more codes

G0444	Annual depression screening, 5 to 15 minutes	<1%	17	$330.71
98968		<1%	21	$246.96
G8421	Bmi not documented and no reason is given	<1%	15	$98.40
36415	Collection of venous blood by venipuncture	<1%	36	$79.01
G8783	Normal blood pressure reading documented, follow-up not required	<1%	13	$41.76
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	12	$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 officialDEY, DENNIS (OWNER)