Physician
Spine and Pain Consultant, PLLC
Spine and Pain Consultant, PLLC was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoSPINE AND PAIN CONSULTANT, PLLC
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
33aNPI1477792232assigned 02/18/2009
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$1.24M
24GClaims46,694
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in New York
Rank by total paid#9 of 125
Median peer was paid$14K
This provider vs. median89×
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 | 2,553 | $120K | |
| 2019 | 3,451 | $151K | |
| 2020 | 3,529 | $134K | |
| 2021 | 3,402 | $156K | |
| 2022 | 9,356 | $224K | |
| 2023 | 13,227 | $234K | |
| 2024incomplete | 11,176 | $225K |
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 | 51% | 8,137 | 7,682 | $639K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 8,812 | 8,300 | $482K |
| G0483 | 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; 22 or more drug class(es), including metabolite(s) if performed | 3.6% | 386 | 378 | $44K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 272 | 271 | $24K |
| 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 | 1.4% | 147 | 147 | $17K |
| 80306 | <1% | 1,489 | 1,472 | $8K | |
| G0482 | 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; 15-21 drug class(es), including metabolite(s) if performed | <1% | 44 | 44 | $7K |
| 64493 | <1% | 24 | 24 | $5K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,722 | 3,476 | $5K |
| 64495 | <1% | 24 | 24 | $3K | |
| 64494 | <1% | 24 | 24 | $3K | |
| 99401 | <1% | 140 | 139 | $3K |
13 more codes
| 99442 | <1% | 32 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 22 | $634.92 |
| 86769 | <1% | 14 | $435.82 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 417 | $200.15 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 199 | $129.06 |
| 81025 | <1% | 24 | $86.35 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 7,672 | $67.78 |
| 36415 | Collection of venous blood by venipuncture | <1% | 17 | $4.86 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 5,587 | $4.84 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 4,733 | $0.01 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | <1% | 1,279 | $0.01 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 1,033 | $0.01 |
| 1036F | 0% | 2,444 | $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 officialCHAPMAN, KENNETH (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Specialty Anesthesia, PLLC | Staten Island, NY | $46K |
| Charter Township of Highland | Highland, MI | $45K |
| Richmond Asc LLC | Staten Island, NY | $12K |
| Mantro Mobile Imaging LLC | Whittier, CA | $6K |
| Mantro Mobile Imaging LLC | Las Vegas, NV | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.