Physician
Momenta Pain Care, LLC
Momenta Pain Care, LLC was paid $14K by Medicaid between Jul 2018 and Jan 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoMOMENTA PAIN CARE, LLC
OMAHA, NE 68154
OMAHA, NE 68154
33aNPI1417474602assigned 08/28/2017
33bProvider typeInterventional Pain Medicine Physician
28Total paid$14K
24GClaims569
24DCodes billed2
24AFirst – last monthJul 2018 – Jan 2024
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 | 139 | $3K | |
| 2019 | 50 | $915.67 | |
| 2020 | 29 | $706.84 | |
| 2021 | 105 | $3K | |
| 2022 | 109 | $3K | |
| 2023 | 124 | $3K | |
| 2024incomplete | 13 | $531.27 |
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 | 52% | 322 | 289 | $7K |
| 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 | 48% | 247 | 190 | $7K |
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 officialROSS, SHELLY (BILLING MANAGER)