Michigan Pain&spine Clinic PLLC

Michigan Pain&spine Clinic PLLC was paid $129K by Medicaid between Jan 2018 and Mar 2021, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoMICHIGAN PAIN&SPINE CLINIC PLLC
GARDEN CITY, MI 48135

33aNPI1538597877assigned 10/23/2013

33bProvider typePain Clinic/Center

28Total paid$129K

24GClaims5,662

24DCodes billed21

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Pain Clinic/Center providers in Michigan

Rank by total paid#4 of 8

Median peer was paid$50K

This provider vs. median2.6×

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	3,050	$71K
2019	1,109	$25K
2020	1,195	$24K
2021	308	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	70%	2,279	2,188	$90K
62323		13%	180	170	$17K
64483		4.7%	76	75	$6K
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	3.7%	52	52	$5K
64484		1.9%	74	73	$2K
27096		1.5%	45	39	$2K
64495		<1%	27	25	$1K
64494		<1%	27	25	$1K
64493		<1%	15	13	$1K
J3490	Unclassified drugs	<1%	682	625	$1K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	890	863	$733.37
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	93	83	$458.12

9 more codes

77003		<1%	212	$393.45
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	442	$69.24
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	24	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	35	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	37	$0.00
G9578	Documentation of signed opioid treatment agreement at least once during opioid therapy	0%	37	$0.00
G9562	Patients who had a follow-up evaluation conducted at least every three months during opioid therapy	0%	36	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	13	$0.00
99070		0%	386	$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 officialKONDUR, SRUTHI (PRESIDENT)