Physician
Lags Spine and Sportscare Medical Centers, INC.
Lags Spine and Sportscare Medical Centers, INC. was paid $353K by Medicaid between Feb 2019 and Sep 2020, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoLAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
MERCED, CA 95340
MERCED, CA 95340
33aNPI1497241053assigned 07/07/2018
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$353K
24GClaims7,283
24DCodes billed26
24AFirst – last monthFeb 2019 – Sep 2020
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in California
Rank by total paid#19 of 70
Median peer was paid$39K
This provider vs. median9.1×
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 | 3,931 | $194K | |
| 2020 | 3,352 | $159K |
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 | 42% | 4,048 | 3,904 | $150K |
| 95886 | 13% | 351 | 344 | $46K | |
| 64493 | 11% | 395 | 216 | $39K | |
| 95911 | 7.9% | 153 | 153 | $28K | |
| 64494 | 5.3% | 380 | 207 | $19K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 616 | 602 | $14K |
| 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 | 4.0% | 206 | 203 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 179 | 179 | $10K |
| 64635 | 1.7% | 34 | 32 | $6K | |
| 11104 | 1.6% | 54 | 54 | $6K | |
| 11105 | 1.2% | 54 | 54 | $4K | |
| 95913 | <1% | 16 | 16 | $3K |
14 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 221 | $3K |
| 64490 | <1% | 22 | $2K | |
| 20611 | <1% | 45 | $2K | |
| 64636 | <1% | 35 | $2K | |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 134 | $1K |
| 64491 | <1% | 21 | $1K | |
| 20526 | <1% | 19 | $524.93 | |
| 76942 | <1% | 12 | $395.69 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 71 | $351.02 |
| 99406 | <1% | 31 | $322.71 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $303.17 |
| 99000 | <1% | 63 | $214.17 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 12 | $207.84 |
| 99490 | Ccm add 20min | 0% | 94 | $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 officialD'AMATO, AMY (CONTRACTS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Lags Spine and Sportscare Medical Centers, INC. | Ventura, CA | $617K |
| Lags Spine and Sportscare Medical Centers, INC. | Salinas, CA | $374K |
| Lags Spine and Sportscare Medical Centers, INC. | Portland, OR | $4K |
| Lags Spine and Sportscare Medical Centers, INC. | Sacramento, CA | $640.91 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.