Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PREMIER PAIN CENTERS PA

NPI: 1538656160 · RICHARDSON, TX 75080 · Psychiatry Physician · NPI assigned 04/19/2018

$24K
Total Medicaid Paid
1,232
Total Claims
1,129
Beneficiaries
6
Codes Billed
2021-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialALI, RAO (OWNER)
NPI Enumeration Date04/19/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 58 $385.96
2022 166 $3K
2023 515 $16K
2024 493 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 437 424 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 684 603 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 36 $934.24
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41 40 $495.88
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 14 $183.21
77003 16 12 $0.00