Physician
Action Spine and Pain Center, PC
Action Spine and Pain Center, PC was paid $364K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoACTION SPINE AND PAIN CENTER, PC
FAIRLAWN, OH 44333
FAIRLAWN, OH 44333
33aNPI1447330766assigned 10/17/2006
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$364K
24GClaims25,831
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Ohio
Rank by total paid#2 of 13
Median peer was paid$12K
This provider vs. median32×
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 | 3,793 | $52K | |
| 2019 | 3,392 | $43K | |
| 2020 | 3,249 | $40K | |
| 2021 | 4,354 | $50K | |
| 2022 | 4,480 | $55K | |
| 2023 | 3,294 | $62K | |
| 2024incomplete | 3,269 | $62K |
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 | 81% | 18,094 | 14,978 | $293K |
| 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 | 8.2% | 987 | 862 | $30K |
| 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 | 7.5% | 491 | 433 | $27K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 101 | 90 | $4K |
| 64493 | <1% | 84 | 50 | $3K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 505 | 382 | $2K |
| 64494 | <1% | 68 | 38 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 762 | 612 | $1K |
| 62323 | <1% | 12 | 12 | $1K | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 459 | 374 | $779.40 |
| 20610 | <1% | 39 | 25 | $361.26 | |
| 80305 | <1% | 152 | 129 | $255.76 |
6 more codes
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 63 | $247.13 |
| A4930 | Gloves, sterile, per pair | <1% | 923 | $48.02 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 20 | $45.32 |
| A6413 | Adhesive bandage, first-aid type, any size, each | <1% | 782 | $20.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 951 | $11.30 |
| A4550 | Surgical trays | 0% | 1,338 | $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 officialSHAH, DHRUV (PRESIDENT)