Supplier
Elite Pain Management, LLC
Elite Pain Management, LLC was paid $1.60M by Medicaid between Jan 2018 and Aug 2022, across 16 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 31% of everything it billed.
33Billing provider infoELITE PAIN MANAGEMENT, LLC
LITTLE RIVER, SC 29566
LITTLE RIVER, SC 29566
33aNPI1457727752assigned 08/20/2015
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.60M
24GClaims36,220
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in South Carolina
Rank by total paid#26 of 160
Median peer was paid$125K
This provider vs. median13×
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 | 13,042 | $603K | |
| 2019 | 8,778 | $388K | |
| 2020 | 6,219 | $253K | |
| 2021 | 5,121 | $210K | |
| 2022 | 3,060 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 31% | 8,950 | 6,759 | $489K |
| G0480 | 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; 1-7 drug class(es), including metabolite(s) if performed | 28% | 7,136 | 5,467 | $445K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 13,499 | 10,486 | $408K |
| 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 | 13% | 4,445 | 3,676 | $201K |
| 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 | 2.2% | 480 | 379 | $34K |
| 64493 | <1% | 178 | 132 | $7K | |
| 64495 | <1% | 179 | 131 | $3K | |
| 64494 | <1% | 178 | 132 | $3K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 758 | 567 | $2K |
| 64635 | <1% | 55 | 28 | $2K | |
| 64636 | <1% | 41 | 14 | $992.85 | |
| 96103 | <1% | 141 | 91 | $913.91 |
4 more codes
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 officialTONKIN, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Elite Pain Management, LLC | Springfield, MO | $3.53M |
| Elite Pain Management, LLC | Las Vegas, NV | $966.30 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.