Physician
Advanced Pain & Spine Institute LLC
Advanced Pain & Spine Institute LLC was paid $834K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 27096, — 15% of everything it billed.
33Billing provider infoADVANCED PAIN & SPINE INSTITUTE LLC
MILFORD, OH 45150
MILFORD, OH 45150
33aNPI1467733147assigned 09/08/2011
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$834K
24GClaims30,864
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Ohio
Rank by total paid#9 of 43
Median peer was paid$52K
This provider vs. median16×
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 | 7,545 | $264K | |
| 2019 | 6,609 | $218K | |
| 2020 | 4,723 | $97K | |
| 2021 | 4,384 | $89K | |
| 2022 | 2,906 | $64K | |
| 2023 | 2,709 | $54K | |
| 2024incomplete | 1,988 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 27096 | 15% | 1,016 | 908 | $126K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 4,782 | 4,168 | $117K |
| 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% | 3,412 | 2,879 | $105K |
| 64635 | 12% | 955 | 752 | $102K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 11% | 11,742 | 8,050 | $92K |
| 64636 | 7.7% | 932 | 742 | $65K | |
| 64483 | 5.1% | 607 | 488 | $42K | |
| 77002 | 4.6% | 2,583 | 1,927 | $38K | |
| 64484 | 4.2% | 608 | 487 | $35K | |
| 64450 | 2.4% | 480 | 217 | $20K | |
| 64633 | 2.3% | 169 | 125 | $19K | |
| 64634 | 1.8% | 183 | 135 | $15K |
18 more codes
| 20610 | 1.8% | 585 | $15K | |
| 64640 | 1.3% | 148 | $11K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 152 | $9K |
| 99443 | <1% | 284 | $8K | |
| 62321 | <1% | 50 | $5K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 92 | $3K |
| 64490 | <1% | 20 | $2K | |
| 64418 | <1% | 15 | $1K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 387 | $981.99 |
| 64491 | <1% | 20 | $893.99 | |
| J3490 | Unclassified drugs | <1% | 115 | $448.19 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 255 | $402.06 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $265.63 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 992 | $184.10 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 98 | $7.46 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 115 | $6.38 |
| 77003 | 0% | 34 | $0.00 | |
| 64625 | 0% | 15 | $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 officialKERSCHNER, MAGDALENA (PRES/OWNER)