Physician
Pacific Rehabilitation & Pain
Pacific Rehabilitation & Pain was paid $7.40M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoPACIFIC REHABILITATION & PAIN
MONTEREY, CA 93940
MONTEREY, CA 93940
33aNPI1528448909assigned 06/01/2015
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$7.40M
24GClaims96,234
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in California
Rank by total paid#1 of 166
Median peer was paid$16K
This provider vs. median461×
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 | 2,421 | $112K | |
| 2019 | 3,872 | $247K | |
| 2020 | 6,920 | $377K | |
| 2021 | 14,910 | $1.00M | |
| 2022 | 20,347 | $1.54M | |
| 2023 | 25,512 | $1.87M | |
| 2024incomplete | 22,252 | $2.26M |
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 | 63% | 51,245 | 29,499 | $4.69M |
| 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 | 12% | 970 | 969 | $853K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.5% | 3,317 | 2,604 | $553K |
| 20553 | 5.1% | 7,848 | 5,359 | $374K | |
| 76942 | 2.7% | 9,217 | 6,067 | $201K | |
| 76882 | 2.5% | 9,296 | 6,116 | $182K | |
| 99205 | Prolong outpt/office vis | 2.2% | 776 | 775 | $164K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.1% | 567 | 199 | $82K |
| 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 | <1% | 544 | 544 | $45K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 5,034 | 3,519 | $33K |
| L0648 | Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | <1% | 44 | 44 | $33K |
| 64483 | <1% | 499 | 303 | $33K |
19 more codes
| 20610 | <1% | 952 | $31K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 2,373 | $30K |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | <1% | 128 | $19K |
| 64484 | <1% | 501 | $15K | |
| L1851 | Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf | <1% | 22 | $15K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 204 | $10K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 518 | $9K |
| 99348 | <1% | 103 | $8K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 616 | $7K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 968 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 27 | $4K |
| 64405 | <1% | 58 | $3K | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 28 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 144 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 52 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 92 | $1K |
| 99310 | Prolong nursin fac eval 15m | <1% | 16 | $585.00 |
| 99307 | <1% | 60 | $372.96 | |
| 99152 | <1% | 15 | $184.05 |
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 officialDELDAR, SALAR (PRESIDENT)