Foothills Pain Management Clinic PC

Foothills Pain Management Clinic PC was paid $4.80M by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoFOOTHILLS PAIN MANAGEMENT CLINIC PC
COVINA, CA 91723

33aNPI1487885372assigned 07/27/2009

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$4.80M

24GClaims91,313

24DCodes billed39

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in California

Rank by total paid#82 of 946

Median peer was paid$15K

This provider vs. median315×

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	8,166	$378K
2019	8,881	$466K
2020	10,206	$520K
2021	13,103	$623K
2022	15,012	$796K
2023	19,234	$1.16M
2024incomplete	16,711	$859K

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	50%	31,589	30,420	$2.40M
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	16%	6,780	6,467	$748K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	14,989	14,293	$634K
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	8.3%	4,201	4,196	$399K
62323		3.2%	973	972	$154K
99152		3.2%	5,185	5,114	$154K
64493		1.5%	545	359	$74K
64494		<1%	543	357	$37K
99205	Prolong outpt/office vis	<1%	282	282	$34K
99308	Subsequent nursing facility care, per day, straightforward	<1%	1,631	1,521	$30K
77002		<1%	275	267	$21K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	164	164	$16K

27 more codes

J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	943	$14K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	3,179	$14K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	3,054	$12K
64495		<1%	133	$9K
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	4,582	$9K
99307		<1%	2,026	$8K
64483		<1%	31	$7K
20610		<1%	102	$4K
99305		<1%	211	$3K
20553		<1%	61	$3K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	2,987	$2K
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	3,026	$2K
64616		<1%	18	$2K
99306	Prolong nursin fac eval 15m	<1%	14	$2K
62321		<1%	13	$2K
99203	Doctor's office visit, new patient (routine)	<1%	36	$2K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	2,508	$1K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	599	$901.65
98960		<1%	293	$854.51
62370		<1%	13	$374.61
98962		<1%	139	$350.05
76942		<1%	12	$200.16
1036F		0%	40	$0.00
80305		0%	21	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	37	$0.00
A4550	Surgical trays	0%	16	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	62	$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 officialMEHTA, HETAL (ADMINISTRATOR)