Cny Spine and Pain Medicine LLC

Cny Spine and Pain Medicine LLC was paid $1.64M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoCNY SPINE AND PAIN MEDICINE LLC
LIVERPOOL, NY 13090

33aNPI1427397397assigned 02/12/2013

33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician

28Total paid$1.64M

24GClaims21,256

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in New York

Rank by total paid#4 of 104

Median peer was paid$17K

This provider vs. median97×

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	1,311	$112K
2019	2,179	$166K
2020	2,701	$196K
2021	4,163	$312K
2022	3,777	$294K
2023	4,741	$368K
2024incomplete	2,384	$194K

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	67%	11,634	11,341	$1.11M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	5,446	5,297	$369K
95886		3.4%	608	590	$56K
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	3.2%	391	391	$52K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	1.4%	803	797	$23K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	517	494	$22K
95912		<1%	40	40	$6K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	141	138	$3K
76942		<1%	28	27	$2K
80305		<1%	380	379	$2K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	141	134	$437.13
99152		<1%	28	26	$174.56

4 more codes

J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	55	$81.70
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	45	$11.33
A4215	Needle, sterile, any size, each	<1%	435	$11.01
99000		<1%	564	$2.24

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 officialSCHAEFFER, MARTIN (OWNER)