MOMENTA PAIN CARE, LLC
NPI: 1417474602
· OMAHA, NE 68154
· Interventional Pain Medicine Physician
· NPI assigned 08/28/2017
Provider Details
| Authorized Official | ROSS, SHELLY (BILLING MANAGER) |
| NPI Enumeration Date | 08/28/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
139 |
$3K |
| 2019 |
50 |
$915.67 |
| 2020 |
29 |
$706.84 |
| 2021 |
105 |
$3K |
| 2022 |
109 |
$3K |
| 2023 |
124 |
$3K |
| 2024 |
13 |
$531.27 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
322 |
289 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
190 |
$7K |