Physical Medicine Consultants LLC

Physical Medicine Consultants LLC was paid $970K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 95886, — 23% of everything it billed.

33Billing provider infoPHYSICAL MEDICINE CONSULTANTS LLC
FORT WAYNE, IN 46804

33aNPI1447314067assigned 12/20/2006

33bProvider typeAnesthesiology Physician

28Total paid$970K

24GClaims25,114

24DCodes billed25

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Anesthesiology Physician providers in Indiana

Rank by total paid#8 of 64

Median peer was paid$19K

This provider vs. median52×

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	1,637	$22K
2019	1,954	$53K
2020	3,235	$111K
2021	5,294	$242K
2022	4,745	$211K
2023	4,970	$208K
2024incomplete	3,279	$124K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95886		23%	3,364	2,942	$225K
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	21%	4,934	4,163	$200K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	5,033	4,234	$141K
95909		11%	1,578	1,375	$106K
95911		9.1%	686	608	$89K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	7.5%	3,294	2,949	$73K
62369		3.8%	1,563	1,227	$36K
64483		2.4%	196	171	$23K
62323		2.2%	205	172	$22K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed	1.9%	215	205	$18K
95908		1.2%	215	194	$11K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	1,857	1,563	$10K

13 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	95	$8K
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	259	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	154	$2K
80305		<1%	391	$1K
96127		<1%	856	$1K
99203	Doctor's office visit, new patient (routine)	<1%	13	$842.05
99152		<1%	52	$613.39
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	36	$268.36
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	23	$258.58
82947		<1%	15	$23.58
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	15	$7.20
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	48	$4.32
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	17	$3.30

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 officialSTENSLAND, DAVID (OWNER/PHYSICIAN)