Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

The Pain Center USA PLLC

The Pain Center USA PLLC was paid $4.21M by Medicaid between Jan 2018 and Nov 2018, across 64 billing codes. Its largest line is 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 — 21% of everything it billed.

33Billing provider infoTHE PAIN CENTER USA PLLC
WARREN, MI 48093
33aNPI1508996653assigned 03/07/2007
28Total paid$4.21M
24GClaims109,879
24DCodes billed64
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers

Next to other Interventional Pain Medicine Physician providers in Michigan

Rank by total paid#2 of 23
Median peer was paid$312K
This provider vs. median13×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
2018109,879$4.21M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 21% 1,281 1,199 $896K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 16,422 15,782 $619K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 14% 5,018 4,934 $601K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4.7% 5,001 4,930 $199K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.6% 5,685 1,833 $192K
64635 3.9% 1,524 1,298 $166K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.0% 2,260 2,250 $128K
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf 3.0% 272 262 $124K
64493 2.7% 1,265 1,155 $113K
64636 2.6% 1,686 1,417 $108K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.9% 5,482 1,768 $82K
01992 1.7% 1,386 1,203 $71K
52 more codes
97116 1.6% 4,320 $67K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1.4% 3,234 $60K
64495 1.4% 1,287 $59K
64494 1.4% 1,308 $59K
62323 1.1% 716 $46K
97032 1.0% 5,267 $44K
99214 Doctor's office visit, returning patient (more involved) 1.0% 798 $42K
64483 <1% 529 $41K
20611 <1% 1,046 $40K
99204 Doctor's office visit, new patient (more involved) <1% 416 $37K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,865 $36K
80171 <1% 3,511 $36K
95886 <1% 343 $35K
84311 <1% 3,546 $32K
27096 <1% 423 $31K
97162 <1% 656 $29K
L2397 Addition to lower extremity orthosis, suspension sleeve <1% 267 $23K
62321 <1% 293 $19K
64490 <1% 194 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 795 $17K
95910 <1% 154 $16K
82570 <1% 4,005 $15K
01991 <1% 524 $15K
64484 <1% 457 $14K
64633 <1% 136 $14K
64634 <1% 142 $11K
83986 <1% 4,019 $11K
64491 <1% 196 $9K
64492 <1% 193 $9K
97035 <1% 747 $5K
81003 <1% 3,938 $5K
95909 <1% 55 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 191 $3K
97164 <1% 59 $1K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 30 $1K
20606 <1% 33 $1K
20610 <1% 35 $1K
95908 <1% 16 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 740 $878.50
98942 <1% 21 $628.11
20553 <1% 12 $251.02
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,252 $105.13
83992 <1% 14 $65.95
97014 <1% 20 $52.51
83789 <1% 3,497 $38.56
82542 <1% 3,497 $19.28
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 22 $0.00
77003 0% 13 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 22 $0.00
99070 0% 1,955 $0.00
80345 0% 4,751 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 0% 37 $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 officialBOTHRA, RAJENDRA (OWNER)
Same official

Other billing entities under BOTHRA, RAJENDRA

Full network →
ProviderLocationPaid
Interventional Pain Center PLLCWarren, MI$1.13M
The Pain Center USA PLLCWarren, MI$103K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.