FORMOSO PAIN SPECIALISTS, PA
NPI: 1487270351
· JACKSONVILLE, FL 32224
· Interventional Pain Medicine Physician
· NPI assigned 06/17/2020
$476K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,563 |
$81K |
| 2023 |
6,512 |
$182K |
| 2024 |
6,034 |
$212K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,046 |
7,845 |
$323K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
466 |
449 |
$44K |
| 64493 |
|
266 |
222 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,629 |
1,420 |
$37K |
| 20553 |
|
695 |
590 |
$9K |
| 64494 |
|
262 |
209 |
$8K |
| 80305 |
|
2,665 |
2,361 |
$8K |
| 64635 |
|
14 |
14 |
$5K |
| 64636 |
|
14 |
14 |
$2K |
| 64490 |
|
12 |
12 |
$1K |
| 77002 |
|
16 |
12 |
$857.99 |
| 96138 |
|
12 |
12 |
$291.60 |
| 64491 |
|
12 |
12 |
$68.36 |