NP / PA
Atlas Pain and Spine PLLC
Atlas Pain and Spine PLLC was paid $1.95M by Medicaid between Jul 2019 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoATLAS PAIN AND SPINE PLLC
CORBIN, KY 40701
CORBIN, KY 40701
33aNPI1487112843assigned 03/05/2019
33bProvider typePhysician Assistant
28Total paid$1.95M
24GClaims66,817
24DCodes billed39
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#27 of 214
Median peer was paid$134K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2019 | 1,197 | $17K | |
| 2020 | 7,790 | $144K | |
| 2021 | 14,427 | $337K | |
| 2022 | 18,113 | $339K | |
| 2023 | 13,699 | $525K | |
| 2024incomplete | 11,591 | $590K |
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 | 18% | 15,427 | 13,806 | $342K |
| 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% | 6,394 | 5,959 | $263K |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 8.8% | 263 | 192 | $171K |
| 99442 | 8.2% | 5,371 | 4,523 | $160K | |
| 64635 | 7.2% | 578 | 443 | $141K | |
| 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 | 6.4% | 1,758 | 1,606 | $125K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 5.3% | 3,163 | 2,974 | $104K |
| 64493 | 5.2% | 980 | 841 | $102K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 1,839 | 1,646 | $86K |
| 64636 | 3.9% | 840 | 443 | $76K | |
| 80305 | 3.7% | 13,956 | 11,722 | $71K | |
| 62323 | 3.6% | 588 | 533 | $69K |
27 more codes
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 3.1% | 765 | $60K |
| 64494 | 2.9% | 1,453 | $57K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.1% | 152 | $21K |
| 77002 | 1.1% | 856 | $21K | |
| 20610 | <1% | 490 | $18K | |
| 99152 | <1% | 841 | $14K | |
| 64495 | <1% | 339 | $12K | |
| 20553 | <1% | 340 | $11K | |
| 96127 | <1% | 3,396 | $8K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,039 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 290 | $3K |
| 62321 | <1% | 24 | $2K | |
| 95117 | <1% | 180 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,292 | $1K |
| 99072 | <1% | 424 | $1K | |
| 99484 | <1% | 57 | $1K | |
| 62320 | <1% | 14 | $939.31 | |
| 99490 | Ccm add 20min | <1% | 356 | $836.20 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 64 | $763.90 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 1,314 | $234.35 |
| 99406 | <1% | 32 | $190.56 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 48 | $154.53 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 261 | $65.27 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 30 | $32.80 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 228 | $0.81 |
| J3490 | Unclassified drugs | <1% | 257 | $0.13 |
| 888888 | 0% | 118 | $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 officialWHEALTON, THOMAS (OWNER)