Physician
Premier Pain Professionals PC
Premier Pain Professionals PC was paid $25K by Medicaid between Feb 2018 and May 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.
33Billing provider infoPREMIER PAIN PROFESSIONALS PC
POTTSVILLE, PA 17901
POTTSVILLE, PA 17901
33aNPI1497902910assigned 08/27/2008
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$25K
24GClaims1,145
24DCodes billed5
24AFirst – last monthFeb 2018 – May 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Pennsylvania
Rank by total paid#26 of 72
Median peer was paid$11K
This provider vs. median2.3×
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 | 300 | $238.99 | |
| 2019 | 60 | $241.65 | |
| 2021 | 165 | $4K | |
| 2022 | 279 | $9K | |
| 2023 | 246 | $8K | |
| 2024incomplete | 95 | $3K |
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 | 91% | 611 | 560 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 247 | 234 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 95 | 86 | $36.75 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 96 | 92 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 96 | 92 | $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 officialKUMAR, ASHOK (OWNER)